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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000401

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of IrisWatkins Sex Female

Date of Birth January 13, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father Daniel Seth Watkins MAIDEN NAME of Mother Jemima Marion Morgan

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

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Accountant Place of birth of Father Bargoed, South Wales

Race Welsh Name and present address of Physician in attendance at birth Dr. Michael MacDonald

Signature of Applicant I.W. Fraser Address of Applicant Box 46 Grand Pre Date March 20, 1969

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of IrisWatkins

Born at New Glasgow in the County of Pictou

That IrisWatkins Whose Birth is sought to be registered was

born at New Glasgow Pictou County on January 13, 1921

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

Information received from my mother and Baptism Certificate signed by Rev. Mr. Fletcher

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