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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000048

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francelia MaudeSwim Sex Female

Date of Birth September 20, 1922 Place of Birth RockvilleCounty of Yarmouth

Name of Father Douglas Baker Swim MAIDEN NAME of Mother Annie Mae Ross

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

Residence of Father when child was born Rockville, Yarmouth Present address of Father Rockville, Yarmouth

Occupation of Father at Birth of child Fisherman Place of birth of Father Clarks Harbour, Shelburne

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Annie M. Swim Address of Applicant Rockville, Yarmouth Date 17 November 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francelia MaudeSwim

Born at Rockville in the County of Yarmouth

That Francelia MaudeSwim Whose Birth is sought to be registered was

born at Rockville Yarmouth County on September 20, 1922

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

I am the mother of Francelia Maude Swim

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