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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000620

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Constance MarieRice Sex Female

Date of Birth October 16, 1921 Place of Birth Bear RiverCounty of Digby

Name of Father Robert Davenport Rice MAIDEN NAME of Mother Mary Ann Darres

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

Residence of Father when child was born Bear River Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Bear River

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Cox Address of Applicant 20 Lawson Ave. Dartmouth Date September 26, 1975

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Constance MarieRice

Born at Bear River in the County of Digby

That Constance MarieRice Whose Birth is sought to be registered was

born at Bear River Digby County on October 16, 1921

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

School Register, Statistics Canada Census Record, Marriage Extract

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