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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000350

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mona EthelCribby Sex Female

Date of Birth January 31, 1921 Place of Birth Porters LakeCounty of Halifax

Name of Father William Arthur Cribby MAIDEN NAME of Mother Emma Margaret Mannett

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

Residence of Father when child was born Portland St. Dartmouth Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Dartmouth

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

Signature of Applicant Mona Ethel Beaver Address of Applicant 210 Pleasant St. Dartmouth Date March 14, 1966

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mona EthelCribby

Born at Porters Lake in the County of Halifax

That Mona EthelCribby Whose Birth is sought to be registered was

born at Porters Lake Halifax County on January 31, 1921

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

Baptism and Marriage Record

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