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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000172

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phyllis NinaMacIntosh Sex Female

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

Name of Father Kenneth MacIntosh MAIDEN NAME of Mother Mary Elizabeth McLaughlin

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Bass River

Race Scottish Name and present address of Physician in attendance at birth Dr. S.A. Fulton, dead

Signature of Applicant Angretta Nolan Address of Applicant 20 Pleasant St. Truro Date March 3, 1952

Relationship of Applicant to child Aunt and guardian

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phyllis NinaMacIntosh

Born at Truro in the County of Colchester

That Phyllis NinaMacIntosh Whose Birth is sought to be registered was

born at Truro Colchester County on July 17, 1920

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

Was present and helped to attend at time of birth. I am her aunt and Guardian. (affidavits and copy of school records attached)

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