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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000035

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ellen RebeccaCross Sex Female

Date of Birth May 15, 1920 Place of Birth Preston RoadCounty of Halifax

Name of Father James Gordon Cross MAIDEN NAME of Mother Sadie Osborne

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Preston Raod Present address of Father Westphal

Occupation of Father at Birth of child Farmer Place of birth of Father Woodlawn

Race Dutch Name and present address of Physician in attendance at birth Dr. A. Payzant, Dartmouth

Signature of Applicant Mrs. Gordon Cross Address of Applicant Westphal Date September 2, 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ellen RebeccaCross

Born at Preston Road in the County of Halifax

That Ellen RebeccaCross Whose Birth is sought to be registered was

born at Preston Road Halifax County on May 15, 1920

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

I am the mother of Ellen Rebecca Cross

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