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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000432

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thelma ClarissaRussell Sex Female

Date of Birth March 20, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father Edward  Russell MAIDEN NAME of Mother Louise Mary Wilkinson

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

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Bristol, England

Race Anglo-saxon Name and present address of Physician in attendance at birth Dr. McLeod

Signature of Applicant Mrs. T.C. Harrocks Address of Applicant Windsor, Ontario Date August 10, 1966

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thelma ClarissaRussell

Born at New Glasgow in the County of Pictou

That Thelma ClarissaRussell Whose Birth is sought to be registered was

born at New Glasgow Pictou County on March 20, 1920

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

I was given a baptismal certificate, a photostat of which is annexed as Schedule "A" hereto.

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