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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000535

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elva MayStevens Sex Female

Date of Birth September 9, 1921 Place of Birth North SydneyCounty of Cape Breton

Name of Father Archibald Stevens MAIDEN NAME of Mother Sarah White

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

Residence of Father when child was born North Sydney Present address of Father Blandford

Occupation of Father at Birth of child Miner Place of birth of Father Tancook Island

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

Signature of Applicant Mrs. Emily Lantz Address of Applicant Western Shore Date November 26, 1973

Relationship of Applicant to child Sister in law

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elva MayStevens

Born at North Sydney in the County of Cape Breton

That Elva MayStevens Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on September 9, 1921

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

School Records at Chester

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