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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000105

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mae CatherineMillett Sex Female

Date of Birth September 4, 1921 Place of Birth BayheadCounty of Colchester

Name of Father Seth Millet MAIDEN NAME of Mother Gertrude Watson

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Upper Falmouth

Race White Name and present address of Physician in attendance at birth Dr. Dan Murray

Signature of Applicant Seth Millet Address of Applicant Bayhead Date November 6, 1948

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mae CatherineMillett

Born at Bayhead in the County of Colchester

That Mae CatherineMillett Whose Birth is sought to be registered was

born at Bayhead Colchester County on September 4, 1921

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

I am her father and remember her birth

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