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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000447

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna MaxineBurns Sex Female

Date of Birth May 1, 1921 Place of Birth East Noel RoadCounty of Hants

Name of Father Harry Elmer Burns MAIDEN NAME of Mother Muriel Beatrice Ettinger

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

Residence of Father when child was born East Noel Road Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Upper Kennetcook

Race Scottish Name and present address of Physician in attendance at birth Midwife

Signature of Applicant Muriel Beatrice Burns Address of Applicant Gormanville Date August 20, 1970

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna MaxineBurns

Born at East Noel Road in the County of Hants

That Anna MaxineBurns Whose Birth is sought to be registered was

born at East Noel Road Hants County on May 1, 1921

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

School Census taken in 1937

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