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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100046

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy HelenWorth Sex Female

Date of Birth April 24, 1920 Place of Birth Halfway CoveCounty of Guysborough

Name of Father William Henry Worth MAIDEN NAME of Mother Nettie Bond

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

Residence of Father when child was born Half Way Cove Present address of Father

Occupation of Father at Birth of child Place of birth of Father Half Way Cove

Race Name and present address of Physician in attendance at birth Mrs. Thomas George

Signature of Applicant Mrs. Thomas George Address of Applicant Half Way Cove Date April 24, 1920

Relationship of Applicant to child attendant at birth

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy HelenWorth

Born at Halfway Cove in the County of Guysborough

That Dorothy HelenWorth Whose Birth is sought to be registered was

born at Halfway Cove Guysborough County on April 24, 1920

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

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