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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93501598

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MyrtleCrosby Sex Female

Date of Birth December 6, 1906 Place of Birth YarmouthCounty of Yarmouth

Name of Father Roswald Royal Crosby MAIDEN NAME of Mother Augusta Jeanetta Townsend

Residence of Father when child was born Yarmouth Present address of Father New Glasgow

Occupation of Father at Birth of child Painter Place of birth of Father Yarmouth

Race English Name and present address of Physician in attendance at birth Dr. A.J. Fuller

Signature of Applicant Roswald Royal Crosby Address of Applicant New Glasgow Date 6 March 1926

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MyrtleCrosby

Born at Yarmouth in the County of Yarmouth

That MyrtleCrosby Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on December 6, 1906

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

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