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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700131

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ida RachelNash Sex Female

Date of Birth December 23, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father Henry Herbert Nash MAIDEN NAME of Mother Etta May Moore

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

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

Occupation of Father at Birth of child Miner Place of birth of Father New Haven, Cape Breton

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

Signature of Applicant Henry Herbert Nash Address of Applicant Caledonia Date 20 February1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ida RachelNash

Born at Glace Bay in the County of Cape Breton

That Ida RachelNash Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 23, 1919

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

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