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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000659

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruby Gretta GladysEdwards Sex Female

Date of Birth November 23, 1921 Place of Birth Rocky Bay RoadCounty of Richmond

Name of Father Allan A. Edwards MAIDEN NAME of Mother Grace A. Burge

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

Residence of Father when child was born Rocky Bay Present address of Father Rocky Bay

Occupation of Father at Birth of child Farmer Place of birth of Father Pondville

Race Name and present address of Physician in attendance at birth

Signature of Applicant Greta Forrest Address of Applicant Descousse Date 8 November 1976

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruby Gretta GladysEdwards

Born at Rocky Bay Road in the County of Richmond

That Ruby Gretta GladysEdwards Whose Birth is sought to be registered was

born at Rocky Bay Road Richmond County on November 23, 1921

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

Certificate of Baptism

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