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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000096

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edith GertrudeAnthony Sex Female

Date of Birth May 2, 1921 Place of Birth MiltonCounty of Queens

Name of Father Edward Thomas Anthony MAIDEN NAME of Mother Margaret Wambolt

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

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

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

Race Dutch Name and present address of Physician in attendance at birth Dr. Hennigar

Signature of Applicant Edward T. Anthony Address of Applicant Milton Date August 27, 1946

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edith GertrudeAnthony

Born at Milton in the County of Queens

That Edith GertrudeAnthony Whose Birth is sought to be registered was

born at Milton Queens County on May 2, 1921

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

I am her father and well remember the circumstances and date.

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