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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000907

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Agnes PatriciaHogg Sex Female

Date of Birth January 2, 1920 Place of Birth RockinghamCounty of Halifax

Name of Father John Hogg MAIDEN NAME of Mother Mildred Frost

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

Residence of Father when child was born Rockingham Present address of Father deceased

Occupation of Father at Birth of child Brakeman on railroad Place of birth of Father Scotland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Laval lombert Address of Applicant Halifax Date May 2, 1978

Relationship of Applicant to child Brother-in-law

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Agnes PatriciaHogg

Born at Rockingham in the County of Halifax

That Agnes PatriciaHogg Whose Birth is sought to be registered was

born at Rockingham Halifax County on January 2, 1920

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

Baptismal Certificate

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