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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000457

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evangeline IdaAtkinson Sex

Date of Birth August 24, 1920 Place of Birth Deep CoveCounty of Yarmouth

Name of Father Millage Freeman Atkinson MAIDEN NAME of Mother Mary Jane Quinlan

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

Residence of Father when child was born Deep Cove Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Clark's Harbour

Race Irish and Scottish Name and present address of Physician in attendance at birth Dr. O'Brien, Yarmouth

Signature of Applicant Mrs. William Harding Address of Applicant Shelburne Date September 21, 1967

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evangeline IdaAtkinson

Born at Deep Cove in the County of Yarmouth

That Evangeline IdaAtkinson Whose Birth is sought to be registered was

born at Deep Cove Yarmouth County on August 24, 1920

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

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