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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93602132

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stella MargaretPelrine Sex Female

Date of Birth October 6, 1906 Place of Birth GuysboroughCounty of Guysborough

Name of Father Abraham Pelrine MAIDEN NAME of Mother Marion Pelrine

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

Occupation of Father at Birth of child Labourer Place of birth of Father Guysborough

Race French Name and present address of Physician in attendance at birth

Signature of Applicant Stella Margaret Pelrine Address of Applicant Lary's River Date 23 February 1926

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stella MargaretPelrine

Born at Guysborough in the County of Guysborough

That Stella MargaretPelrine Whose Birth is sought to be registered was

born at Guysborough Guysborough County on October 6, 1906

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

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