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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93300643

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Fanny EuphemiaWoods Sex Female

Date of Birth November 13, 1906 Place of Birth LockeportCounty of Shelburne

Name of Father Thomas Mitchell Woods MAIDEN NAME of Mother Bessie May Crouse [Krouse]

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Lockeport

Race English Name and present address of Physician in attendance at birth Dr. T.C. Lockwood

Signature of Applicant Annie M. Krouse, R.N. Address of Applicant Cambridge, Massachusetts Date 14 October 1925

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Fanny EuphemiaWoods

Born at Lockeport in the County of Shelburne

That Fanny EuphemiaWoods Whose Birth is sought to be registered was

born at Lockeport Shelburne County on November 13, 1906

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

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