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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000668

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Myrtle CampbellTrott Sex Female

Date of Birth March 2, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father James Trott MAIDEN NAME of Mother Margaret Campbell

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

Residence of Father when child was born Stellarton Present address of Father Glen Haven Manor, New Glasgow

Occupation of Father at Birth of child Miner Place of birth of Father Spinghill

Race Name and present address of Physician in attendance at birth

Signature of Applicant Myrtle Campbell Terris Address of Applicant 154 Hudson St. Date February 14, 1977

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Myrtle CampbellTrott

Born at New Glasgow in the County of Pictou

That Myrtle CampbellTrott Whose Birth is sought to be registered was

born at New Glasgow Pictou County on March 2, 1921

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

I am the same applicant and submit Class A and B evidence

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