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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000036

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy TheresaCruikshank Sex Female

Date of Birth August 17, 1920 Place of Birth TruroCounty of Colchester

Name of Father Howard S. Cruikshank MAIDEN NAME of Mother Clare Currie

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

Residence of Father when child was born Salmon River Present address of Father Truro

Occupation of Father at Birth of child Taxidermist Place of birth of Father Lake Egmont

Race Canadian Name and present address of Physician in attendance at birth Dr. D.C. McKinnon

Signature of Applicant Dorothy Theresa Cruikshank Address of Applicant Truro Date September 5, 1947

Relationship of Applicant to child Self (Mrs. A.C. Walker)

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy TheresaCruikshank

Born at Truro in the County of Colchester

That Dorothy TheresaCruikshank Whose Birth is sought to be registered was

born at Truro Colchester County on August 17, 1920

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

That as her Father I have the record of her birth recorded in the Family Bible

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