Female Birth Registration: Year: 1906 number: 93602217
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
93602217
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Mary MildredSurette Sex Female
Date of Birth October 23, 1906 Place of Birth EelbrookCounty of Yarmouth
Name of Father John Amos Surette MAIDEN NAME of Mother Annie Bourque
Residence of Father when child was born Eelbrook Present address of Father Eelbrook
Occupation of Father at Birth of child Carpenter Place of birth of Father Eelbrook
Race French Name and present address of Physician in attendance at birth Dr. Pennigton
Signature of Applicant John Amos Surette Address of Applicant Eelbrook Date 26 February 1926
Relationship of Applicant to child father
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Mary MildredSurette
Born at Eelbrook in the County of Yarmouth
That Mary MildredSurette Whose Birth is sought to be registered was
born at Eelbrook Yarmouth County on October 23, 1906
My knowledge of the fact and date of such Birth is based on the following Circumstances:
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=402557
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