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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000852

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruby LillianCunningham Sex Female

Date of Birth January 8, 1920 Place of Birth BrooklynCounty of Hants

Name of Father Frances Farrell Cunningham MAIDEN NAME of Mother Helen Reynolds Fader

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

Residence of Father when child was born Brooklyn Present address of Father

Occupation of Father at Birth of child Place of birth of Father Windsor

Race Name and present address of Physician in attendance at birth J.M. Reid

Signature of Applicant Helen Cunningham Address of Applicant Brooklyn Date January 8, `920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruby LillianCunningham

Born at Brooklyn in the County of Hants

That Ruby LillianCunningham Whose Birth is sought to be registered was

born at Brooklyn Hants County on January 8, 1920

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

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