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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000485

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy EdnaSwain Sex Female

Date of Birth May 26, 1921 Place of Birth LinwoodCounty of Antigonish

Name of Father William Swain MAIDEN NAME of Mother Florence Mildred Gordon

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Grosvenor

Race English Name and present address of Physician in attendance at birth Dr. Chisholm

Signature of Applicant Charles Swain Address of Applicant Box 686 Stellarton Date January 6, 1972

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy EdnaSwain

Born at Linwood in the County of Antigonish

That Dorothy EdnaSwain Whose Birth is sought to be registered was

born at Linwood Antigonish County on May 26, 1921

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

I was present at the home when she was born and remember the date; and it was also common knowledge in the family as to birth date.

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