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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93602197

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Florence V.Ross Sex Female

Date of Birth July 10, 1906 Place of Birth Wallace RidgeCounty of Cumberland

Name of Father John J. Ross MAIDEN NAME of Mother Eliza Smith

Residence of Father when child was born Wallace Ridge Present address of Father Malagash

Occupation of Father at Birth of child Farmer Place of birth of Father East Wallace

Race white Name and present address of Physician in attendance at birth Dr. R.D. Bentley

Signature of Applicant Eliza S. Ross Address of Applicant Malagash Date 24 June 1926

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Florence V.Ross

Born at Wallace Ridge in the County of Cumberland

That Florence V.Ross Whose Birth is sought to be registered was

born at Wallace Ridge Cumberland County on July 10, 1906

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

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