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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000087

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Evangeline ThelmaDelaney Sex Female

Date of Birth March 4, 1921 Place of Birth Central North RiverCounty of Colchester

Name of Father William Edward Delaney MAIDEN NAME of Mother Bertha Lucy Nelson

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Central North River Present address of Father 67 Ryland Ave. Truro

Occupation of Father at Birth of child Working in lumber woods Place of birth of Father Onslow Mountain

Race British Name and present address of Physician in attendance at birth none, Mother acting as nurse

Signature of Applicant Mrs. Bertha Delaney Address of Applicant Truro Date June 5, 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Evangeline ThelmaDelaney

Born at Central North River in the County of Colchester

That Evangeline ThelmaDelaney Whose Birth is sought to be registered was

born at Central North River Colchester County on March 4, 1921

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

That I am the mother of the said Evangeline Thelma Delaney

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