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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000140

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of AgnesLays Sex Female

Date of Birth March 10, 1920 Place of Birth HillcrestCounty of Pictou

Name of Father Elwin Lays MAIDEN NAME of Mother Ella Stewart

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

Residence of Father when child was born Hillcrest Present address of Father deceased

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

Race Canadian Name and present address of Physician in attendance at birth Dr. Lane, New Glasgow, deceased

Signature of Applicant Agnes Lays Address of Applicant Sydney St. Antigonish Date November 14, 1950

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of AgnesLays

Born at Hillcrest in the County of Pictou

That AgnesLays Whose Birth is sought to be registered was

born at Hillcrest Pictou County on March 10, 1920

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

The fact that I am her mother and the evidence of her baptismal certificate.

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