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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000082

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edith DorothyRoss Sex Female

Date of Birth March 5, 1920 Place of Birth DartmouthCounty of Halifax

Name of Father David Homes Ross MAIDEN NAME of Mother Maud Ann Richards

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

Residence of Father when child was born Dartmouth Present address of Father Halifax

Occupation of Father at Birth of child Fireman C.N.R. Place of birth of Father Lantz Siding

Race Scottish Name and present address of Physician in attendance at birth deceased

Signature of Applicant R.A. Davison Address of Applicant 53 Berlin Dr. Halifax Date April 2, 1948

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edith DorothyRoss

Born at Dartmouth in the County of Halifax

That Edith DorothyRoss Whose Birth is sought to be registered was

born at Dartmouth Halifax County on March 5, 1920

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

Attached certificate of Baptism

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