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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000023

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie MaeCross Sex Female

Date of Birth May 30, 1922 Place of Birth Preston RoadCounty of Halifax

Name of Father James Gordon Cross MAIDEN NAME of Mother Sadie Osborne

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

Residence of Father when child was born Preston, Road, Halifax Present address of Father Westphal, Halifax

Occupation of Father at Birth of child Farmer Place of birth of Father Woodlawn, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Gordon Cross Address of Applicant Westphal, Halifax Date 2 September 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie MaeCross

Born at Preston Road in the County of Halifax

That Annie MaeCross Whose Birth is sought to be registered was

born at Preston Road Halifax County on May 30, 1922

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

I am the mother of Annie Mae Cross

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