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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000383

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean ElizabethTaylor Sex

Date of Birth February 28, 1920 Place of Birth Logan VilleCounty of Pictou

Name of Father Gordon Lewis Taylor MAIDEN NAME of Mother Catherine Rebecca Bezanson

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

Residence of Father when child was born Logan Ville Present address of Father R.R. #1, Scotsburn

Occupation of Father at Birth of child Mail Driver Place of birth of Father Hilden, Col. Co.

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

Signature of Applicant Mrs. Allan Gregory Address of Applicant 41 Phillip St., Trenton Date August 27, 1963

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean ElizabethTaylor

Born at Logan Ville in the County of Pictou

That Jean ElizabethTaylor Whose Birth is sought to be registered was

born at Logan Ville Pictou County on February 28, 1920

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

The enclosed certificate of Baptism and Affidavit of Mother.

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