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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000472

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lois OlgaRushton Sex Female

Date of Birth September 2, 1920 Place of Birth Sutherlands LakeCounty of Colchester

Name of Father Ira Trueman Rushton MAIDEN NAME of Mother Oressa Rushton

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

Residence of Father when child was born Sutherland Lake Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Londonderry

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Warren Rushton Address of Applicant Springhill Date February 11, 1967

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lois OlgaRushton

Born at Sutherlands Lake in the County of Colchester

That Lois OlgaRushton Whose Birth is sought to be registered was

born at Sutherlands Lake Colchester County on September 2, 1920

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

I am the Aunt of Lois Olga Rushton and have full knowledge of the date of birth of the said Lois Olga Rushton as my son Vincent Rushton was born on September 6, 1920.

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