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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000169

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna MarieWotton Sex Female

Date of Birth November 12, 1922 Place of Birth Aylesford MountainCounty of Kings

Name of Father Jesse C. Wotton MAIDEN NAME of Mother Luetta Lugean Salsman

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

Residence of Father when child was born Aylesford Mountain, Kings Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Aylesford Mountain, Kings

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anna Marie (Wotton) Slauenwhite Address of Applicant Aylesford, Kings Date 22 September 1953

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna MarieWotton

Born at Aylesford Mountain in the County of Kings

That Anna MarieWotton Whose Birth is sought to be registered was

born at Aylesford Mountain Kings County on November 12, 1922

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

Family knowledge, entry in family bible and entry in school register.

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