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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000181

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ida MarjorieAdams Sex Female

Date of Birth August 14, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father Ernest Warren Adams MAIDEN NAME of Mother Jessie Beaton

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

Residence of Father when child was born Glace Bay Present address of Father deceased

Occupation of Father at Birth of child Blacksmith Place of birth of Father Strahadam, New Brunswick

Race British Name and present address of Physician in attendance at birth Dr. A. Calder

Signature of Applicant Jessie Beaton Adams Address of Applicant 768 Foundry St. Glace Bay Date July 24, 1953

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ida MarjorieAdams

Born at Glace Bay in the County of Cape Breton

That Ida MarjorieAdams Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on August 14, 1921

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

As Mother of Child (School and Insurance Records)

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