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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000744

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Blanche IsabelSibley Sex Female

Date of Birth May 6, 1920 Place of Birth WittenburgCounty of Colchester

Name of Father Richard Sibley MAIDEN NAME of Mother Ellen Mosher

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

Residence of Father when child was born Wittenburg Present address of Father Hants

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Colin Campbell Address of Applicant Brookfield Date September 25, 1975

Relationship of Applicant to child nephew

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Blanche IsabelSibley

Born at Wittenburg in the County of Colchester

That Blanche IsabelSibley Whose Birth is sought to be registered was

born at Wittenburg Colchester County on May 6, 1920

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

School register, census, and marriage extract

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