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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000423

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of CeceliaAllen Sex Female

Date of Birth September 13, 1922 Place of Birth New GlasgowCounty of Pictou

Name of Father Joseph Allen MAIDEN NAME of Mother Amelia Jaab

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

Residence of Father when child was born New Glasgow, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Merchant Place of birth of Father Lebanon

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Allen Address of Applicant 106 Main Street, Yarmouth Date 4 August 1971

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of CeceliaAllen

Born at New Glasgow in the County of Pictou

That CeceliaAllen Whose Birth is sought to be registered was

born at New Glasgow Pictou County on September 13, 1922

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

Church records of birth showing family name

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