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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100322

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Myrtle RoseHubbard Sex Female

Date of Birth August 12, 1920 Place of Birth BaccaroCounty of Shelburne

Name of Father Thomas John Hubbard MAIDEN NAME of Mother Ruby Evelyn Crowell

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

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

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

Race Name and present address of Physician in attendance at birth Dr. H.D. Wilson

Signature of Applicant Ruby Crowell Address of Applicant Baccaro Date September 9, 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Myrtle RoseHubbard

Born at Baccaro in the County of Shelburne

That Myrtle RoseHubbard Whose Birth is sought to be registered was

born at Baccaro Shelburne County on August 12, 1920

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

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