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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900538

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Isabelle PooleBeck Sex Female

Date of Birth May 2, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father James Hubert Collins Beck MAIDEN NAME of Mother Lena Bessie MacNeill

Residence of Father when child was born New Glasgow Present address of Father New Glasgow

Occupation of Father at Birth of child Truckmen Place of birth of Father Prince Edward Island

Race Canadian Name and present address of Physician in attendance at birth Dr. J.C. Balleau

Signature of Applicant James H.C. Beck Address of Applicant New Glasgow Date May 4, 1945

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Isabelle PooleBeck

Born at New Glasgow in the County of Pictou

That Isabelle PooleBeck Whose Birth is sought to be registered was

born at New Glasgow Pictou County on May 2, 1920

My knowledge of the fact and date of such Birth is based on the following Circumstances:

From record of attending physician: Copied from book of J.C. Balleau - Born to the then J.H.C. and Mabella Poole Beck. May 2, 1920 - signed J.C. Balleau, MD

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