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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000011

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ClarabelleJohnson Sex Female

Date of Birth April 10, 1922 Place of Birth GreenvilleCounty of Yarmouth

Name of Father   MAIDEN NAME of Mother Melissa Johnson

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harding A. Johnson Address of Applicant Greenville, Yarmouth Date 21 September 1946

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of ClarabelleJohnson

Born at Greenville in the County of Yarmouth

That ClarabelleJohnson Whose Birth is sought to be registered was

born at Greenville Yarmouth County on April 10, 1922

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

I was eleven years old when my sister was born. I was at home at the time. We have lived together ever since. So I remember well the date of her birth.

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