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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000434

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Abbie MayBurhoe Sex Female

Date of Birth July 25, 1920 Place of Birth South BrookfieldCounty of Queens

Name of Father Gay Theophilius Burhoe MAIDEN NAME of Mother Elenora  Wile

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

Residence of Father when child was born South Brookfield Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father south Brookfield

Race White Name and present address of Physician in attendance at birth Dr. MacLeod, Caledonia

Signature of Applicant Abbie May Pearson Address of Applicant Saint John, New Brunswick Date July 21, 1965

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Abbie MayBurhoe

Born at South Brookfield in the County of Queens

That Abbie MayBurhoe Whose Birth is sought to be registered was

born at South Brookfield Queens County on July 25, 1920

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

I am a first cousin and at the time of her birth was living in a house nearby

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