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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000216

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Angeline MelvilleFalconer Sex Female

Date of Birth July 2, 1922 Place of Birth MeadowvilleCounty of Pictou

Name of Father Daniel Earl Falconer MAIDEN NAME of Mother Eva Mae Mills

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

Residence of Father when child was born Caribou River, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Meadowville, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. W. D. Coulter Address of Applicant Belmont, Colchester Date 8 September 1956

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Angeline MelvilleFalconer

Born at Meadowville in the County of Pictou

That Angeline MelvilleFalconer Whose Birth is sought to be registered was

born at Meadowville Pictou County on July 2, 1922

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

I have known the above applicant all her life being her Aunt. Her place of birth is Meadowville, stated in error as Caribou River in the church record. Baptism and Protestant Home record.

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