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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000159

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie AliceTeed Sex Female

Date of Birth March 23, 1922 Place of Birth Bay HeadCounty of Colchester

Name of Father James William Teed MAIDEN NAME of Mother Florence Alice Snell

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

Residence of Father when child was born Bayhead, Colchester Present address of Father Malagash, Cumberland

Occupation of Father at Birth of child Sailor Place of birth of Father Bayhead, Colchester

Race Name and present address of Physician in attendance at birth

Signature of Applicant James W. Teed Address of Applicant Malagash, Cumberland Date 2 June 1953

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie AliceTeed

Born at Bay Head in the County of Colchester

That Marjorie AliceTeed Whose Birth is sought to be registered was

born at Bay Head Colchester County on March 23, 1922

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

Registered in family bible. (church record)

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