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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000021

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rhoda DolinaBaille Sex Female

Date of Birth July 22, 1922 Place of Birth East BranchCounty of Pictou

Name of Father Calvin Angus Baillie MAIDEN NAME of Mother Nina Cotter

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

Residence of Father when child was born East Branch, Pictou Present address of Father Idaho, USA

Occupation of Father at Birth of child Farmer Place of birth of Father Idaho, USA

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rhoda Dolina Baillie Address of Applicant Pictou Date 13 March 1947

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rhoda DolinaBaille

Born at East Branch in the County of Pictou

That Rhoda DolinaBaille Whose Birth is sought to be registered was

born at East Branch Pictou County on July 22, 1922

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

That I am her mother (signed Mrs. Nina Baillie)

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