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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000222

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie MaeDoggett Sex Female

Date of Birth April 19, 1921 Place of Birth KemptonCounty of Colchester

Name of Father Clifford Doggett MAIDEN NAME of Mother Mary Eliza Rideont

Residence of Father when child was born Kempton Present address of Father 33 Main St. Port Dalhousie, Ontario

Occupation of Father at Birth of child Lumberman Place of birth of Father Liverpool

Race Anglo-Saxon Name and present address of Physician in attendance at birth no physician present

Signature of Applicant Mary Eliza Doggett Address of Applicant 33 Main St. Port Dalhousie, Ontario Date April 4, 1956

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie MaeDoggett

Born at Kempton in the County of Colchester

That Annie MaeDoggett Whose Birth is sought to be registered was

born at Kempton Colchester County on April 19, 1921

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

That I am her mother and am sixty years of age and am in good mental and physical health and well remember the circumstances of her birth Baptism - School Record.

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