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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000719

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 9, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Arthur Forrest MAIDEN NAME of Mother Annie Wilson

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

Residence of Father when child was born Halifax Present address of Father Deceased

Occupation of Father at Birth of child Fireman Place of birth of Father England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ruth Millett Address of Applicant Kearney Lake Road, Halifax Date 29 January 1979

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That RuthForrest Whose Birth is sought to be registered was

born at Halifax Halifax County on September 9, 1922

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

Baptism

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