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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000636

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evelyn CatherineHolmes Sex Female

Date of Birth September 29, 1920 Place of Birth Toney River MillsCounty of Pictou

Name of Father Chester Daniel Holmes MAIDEN NAME of Mother Ida MacDonald

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

Residence of Father when child was born Toney River Mills Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Hedgeville

Race English Name and present address of Physician in attendance at birth Dr. Duncan Murray, Pictou

Signature of Applicant Evelyn Henderson Address of Applicant New Glasgow Date May 31, 1973

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evelyn CatherineHolmes

Born at Toney River Mills in the County of Pictou

That Evelyn CatherineHolmes Whose Birth is sought to be registered was

born at Toney River Mills Pictou County on September 29, 1920

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

I am the mother of Evelyn Catherine Holmes - Ida Holmes

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