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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000286

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rita EstherTerrio Sex Female

Date of Birth March 12, 1922 Place of Birth JogginsCounty of Cumberland

Name of Father Patrick Joseph Terrio MAIDEN NAME of Mother Daisy Maud Belliveau

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

Residence of Father when child was born Joggins, Cumberland Present address of Father Joggins, Cumberland

Occupation of Father at Birth of child Clerk Place of birth of Father Lower Cove, Cumberland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Patrick J. Terrio Address of Applicant Joggins, Cumberland Date 5 July 1962

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rita EstherTerrio

Born at Joggins in the County of Cumberland

That Rita EstherTerrio Whose Birth is sought to be registered was

born at Joggins Cumberland County on March 12, 1922

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

That I am the father of Rita Ester Terrio and was at home when she was born and the day and dates mentioned as above are true in every respect and was recorded in the family bible shortly after her birth.

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