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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000217

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 27, 1920 Place of Birth MargareeCounty of Inverness

Name of Father Wilfred Laurier Etheridge MAIDEN NAME of Mother Minnie Letitia Munro

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

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

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

Race White Name and present address of Physician in attendance at birth Dr. Moses McGarry - deceased

Signature of Applicant Mrs. Bessie Jean Nicholson Address of Applicant 12 Duggan St. Dominion Date December 21, 1953

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Margaree in the County of Inverness

That Bessie JeanEtheridge Whose Birth is sought to be registered was

born at Margaree Inverness County on March 27, 1920

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

I am her mother. Also enclosed baptismal certificate (& Census report)

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