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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401075

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eleanor Cameron DouglasInglis Sex Female

Date of Birth October 20, 1906 Place of Birth StellartonCounty of Pictou

Name of Father Alex M. Inglis MAIDEN NAME of Mother Isabell Douglas

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

Occupation of Father at Birth of child Postmaster Place of birth of Father Stellarton

Race Scottish Name and present address of Physician in attendance at birth Dr. H.R. Munroe

Signature of Applicant Eleanor Cameron Douglas Inglis Address of Applicant Stellarton Date 5 January 1926

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eleanor Cameron DouglasInglis

Born at Stellarton in the County of Pictou

That Eleanor Cameron DouglasInglis Whose Birth is sought to be registered was

born at Stellarton Pictou County on October 20, 1906

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

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