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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000745

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elvina RoseOsborne Sex Female

Date of Birth April 6, 1921 Place of Birth New CampbelltonCounty of Victoria

Name of Father George Albert Osborne MAIDEN NAME of Mother Annie Collins

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

Residence of Father when child was born New Campbellton Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Murrays Harbour, Prince Edward Island

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

Signature of Applicant Elvina Rose McKinnon Address of Applicant 4 Rocky Hill Dr. Rockingham Date April 1, 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elvina RoseOsborne

Born at New Campbellton in the County of Victoria

That Elvina RoseOsborne Whose Birth is sought to be registered was

born at New Campbellton Victoria County on April 6, 1921

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

I have always understood from my earliest recollection that the foregoing facts concerning my parentage, place and date of birth were as set forth above.

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