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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500187

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Merrill EdithParker Sex Female

Date of Birth December 21, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Hibbert Parker MAIDEN NAME of Mother Etta Horton

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

Residence of Father when child was born Amherst Present address of Father 4 Alma St.

Occupation of Father at Birth of child Miner Place of birth of Father Parrsboro

Race Name and present address of Physician in attendance at birth Dr. F.E. Boudreau

Signature of Applicant Etta Parker Address of Applicant 4 Alma St., Amherst Date 23 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Merrill EdithParker

Born at Amherst in the County of Cumberland

That Merrill EdithParker Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 21, 1919

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

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