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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000103

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bessie ElineOgilvie Sex Female

Date of Birth April 6, 1920 Place of Birth BurlingtonCounty of Kings

Name of Father Jacob LeRoy Ogilvie MAIDEN NAME of Mother Viola Bertha Ogilvie

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

Residence of Father when child was born Burlington Present address of Father Burlington

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

Race White Name and present address of Physician in attendance at birth Dr. Paul Balcom (Deceased)

Signature of Applicant Mrs. Viola Bertha Ogilvie Address of Applicant Burlington Date August 30, 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bessie ElineOgilvie

Born at Burlington in the County of Kings

That Bessie ElineOgilvie Whose Birth is sought to be registered was

born at Burlington Kings County on April 6, 1920

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

I am the mother of the said Bessie Eline Ogilvie and I remember that she was born on April 6, 1920

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