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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000493

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie ElizaBezanson Sex Female

Date of Birth February 11, 1922 Place of Birth New ChesterCounty of Guysborough

Name of Father John Duncan Bezanson MAIDEN NAME of Mother Alice Mae Croft

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

Residence of Father when child was born New Chester, Guysborough Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father New Chester, Guysborough

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie E. Oicle Address of Applicant Ecum Secum, Guysborough Date 5 October 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie ElizaBezanson

Born at New Chester in the County of Guysborough

That Annie ElizaBezanson Whose Birth is sought to be registered was

born at New Chester Guysborough County on February 11, 1922

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

by my certificate and family bible record.

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