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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401418

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Beatrice WarrenSpicer Sex Female

Date of Birth August 18, 1906 Place of Birth Port GrevilleCounty of Cumberland

Name of Father Clifford Herbert Spicer MAIDEN NAME of Mother Bessie Howard Ayer

Residence of Father when child was born Port Greville Present address of Father Plaster Rock

Occupation of Father at Birth of child Blacksmith Place of birth of Father Spencer's Island

Race English Name and present address of Physician in attendance at birth Dr. Charles S. Morton

Signature of Applicant Bessie Howard Spicer Address of Applicant Halifax Date 16 February 1926

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Beatrice WarrenSpicer

Born at Port Greville in the County of Cumberland

That Beatrice WarrenSpicer Whose Birth is sought to be registered was

born at Port Greville Cumberland County on August 18, 1906

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

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