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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000610

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Theresa MayColpitts Sex Female

Date of Birth September 4, 1920 Place of Birth AmherstCounty of Cumberland

Name of Father Asa  Colpitts MAIDEN NAME of Mother Henrietta Carter

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

Residence of Father when child was born Middlesex, New Brunswick Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Middlesex, New Brunswick

Race Caucasian Name and present address of Physician in attendance at birth none

Signature of Applicant Theresa MacQuarrie Address of Applicant Fort Erie, Ontario Date September 14, 1972

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Theresa MayColpitts

Born at Amherst in the County of Cumberland

That Theresa MayColpitts Whose Birth is sought to be registered was

born at Amherst Cumberland County on September 4, 1920

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

I was present when Theresa May Colpitts was born, Her mother, Henrietta Colpitts, was my sister. Both myself and my sister were expecting at the same time. I had my child of Spetember 1st, 1920 and my sister had her child, Theresa May Colpitts, in the same house on September 4th, 1920. - Greta Lewis

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