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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000160

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Geraldine AdeladeOsborne Sex Female

Date of Birth February 17, 1921 Place of Birth Eastern PassageCounty of Halifax

Name of Father Walter Wilson Osborne MAIDEN NAME of Mother Annie Naugle

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

Residence of Father when child was born Stevence St. Dartmouth Present address of Father 16 A. Deerone St. Portland, Maine, USA

Occupation of Father at Birth of child Iron Worker Place of birth of Father Cow Bay

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Geraldine Osborne Address of Applicant 244 State St. Portland, Maine, USA Date July 1, 1951

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Geraldine AdeladeOsborne

Born at Eastern Passage in the County of Halifax

That Geraldine AdeladeOsborne Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on February 17, 1921

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

Baptismal Certification enclosed

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