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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100394

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Patricia EdwinaDevison Sex Female

Date of Birth March 5, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Roderick Devison MAIDEN NAME of Mother Johanna Rafferty

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

Residence of Father when child was born Glace Bay Present address of Father

Occupation of Father at Birth of child Place of birth of Father Smithers, British Columbia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Patricia Edwina Butts Address of Applicant Victoria, British Columbia Date March 21, 1994

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Patricia EdwinaDevison

Born at Glace Bay in the County of Cape Breton

That Patricia EdwinaDevison Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on March 5, 1920

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

These facts for the date of birth are what showed on my original birth certificate which was destroyed in a fire and this is the date that I was always told I was born on.

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