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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500045

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary AileenColburne Sex Female

Date of Birth October 16, 1919 Place of Birth OxfordCounty of Cumberland

Name of Father Ernest Harold Colburne MAIDEN NAME of Mother Lydia MacEachren

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

Residence of Father when child was born Oxford Junction Present address of Father

Occupation of Father at Birth of child Trackman Place of birth of Father Springhill Junction

Race Name and present address of Physician in attendance at birth Dr. O.R. Salter

Signature of Applicant Ernest Harold Colburn Address of Applicant Oxford Junction Date 10 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary AileenColburne

Born at Oxford in the County of Cumberland

That Mary AileenColburne Whose Birth is sought to be registered was

born at Oxford Cumberland County on October 16, 1919

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

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