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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000874

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie VeronicaStevens Sex Female

Date of Birth November 7, 1921 Place of Birth River HebertCounty of Cumberland

Name of Father Charles Stevens MAIDEN NAME of Mother Hattie MacAloney

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jennie Alain Address of Applicant Myers Pt. Date March 21, 1980

Relationship of Applicant to child Neice

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie VeronicaStevens

Born at River Hebert in the County of Cumberland

That Jessie VeronicaStevens Whose Birth is sought to be registered was

born at River Hebert Cumberland County on November 7, 1921

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

Baptismal Certificate Marriage extract

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