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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000742

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth AnnaWest Sex Female

Date of Birth April 14, 1921 Place of Birth Glace BayCounty of Cape Breton

Name of Father George West MAIDEN NAME of Mother Mary Stacey

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

Residence of Father when child was born Glace Bay Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elizabeth A. Oldford Address of Applicant 5405 - 38th St. Red Deer, Alberta Date March 10, 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth AnnaWest

Born at Glace Bay in the County of Cape Breton

That Elizabeth AnnaWest Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on April 14, 1921

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

Examination of a Baptism Certificate dated July 17, 1921 signed by Harry Watson.

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