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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500229

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roxanna RuthfordRogers Sex Female

Date of Birth December 11, 1919 Place of Birth SpringhillCounty of Cumberland

Name of Father Lewis Leslie Rogers MAIDEN NAME of Mother Laura Jane Fullerton

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

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

Occupation of Father at Birth of child Clerk Place of birth of Father Windham

Race Name and present address of Physician in attendance at birth Dr. Withrow

Signature of Applicant Lewis Leslie Rogers Address of Applicant Springhill Date 06 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roxanna RuthfordRogers

Born at Springhill in the County of Cumberland

That Roxanna RuthfordRogers Whose Birth is sought to be registered was

born at Springhill Cumberland County on December 11, 1919

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

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