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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700211

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie Rose HellinaBezanson Sex Female

Date of Birth November 26, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Ralph Waldo Emmerson Bezanson MAIDEN NAME of Mother Rose Delina Benoit

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

Residence of Father when child was born Sydney Present address of Father 213 Bentick St. [rear]

Occupation of Father at Birth of child Blacksmith Place of birth of Father St. John, NB

Race Name and present address of Physician in attendance at birth Dr. J.F. Macaulay

Signature of Applicant Ralph Waldo Emmerson Byanson Address of Applicant 213 Bentick St. [rear] Date 01 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie Rose HellinaBezanson

Born at Sydney in the County of Cape Breton

That Annie Rose HellinaBezanson Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 26, 1919

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

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