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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000222

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edna IreneCrouse Sex Female

Date of Birth September 16, 1922 Place of Birth East CliffordCounty of Lunenburg

Name of Father William Aseph Crouse MAIDEN NAME of Mother Panana Crouse

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

Residence of Father when child was born East Clifford, Lunenburg Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father East Clifford, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edna Irene MacLean Address of Applicant Glencoe Mills, Inverness Date 20 July 1957

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edna IreneCrouse

Born at East Clifford in the County of Lunenburg

That Edna IreneCrouse Whose Birth is sought to be registered was

born at East Clifford Lunenburg County on September 16, 1922

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

Was told so by my parents and I have a certificate of baptism on which my age is shown.

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