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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100267

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vivian MaudRoss Sex Female

Date of Birth December 3, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Murdock Ross MAIDEN NAME of Mother Mary Keigan

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

Residence of Father when child was born Reserve Mines Present address of Father deceased

Occupation of Father at Birth of child coal miner Place of birth of Father Margaree

Race Name and present address of Physician in attendance at birth

Signature of Applicant Vivian Maud Sodfrey Address of Applicant 355 Cornell Cr, Medicine Hat Alberta Date 27 June 1984

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vivian MaudRoss

Born at Glace Bay in the County of Cape Breton

That Vivian MaudRoss Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 3, 1920

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

Hospital birth certificate

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