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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000762

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruby GertrudeAndrews Sex Female

Date of Birth March 13, 1922 Place of Birth MushaboomCounty of Halifax

Name of Father George Andrews MAIDEN NAME of Mother Hilda Boutilier

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Mushaboom, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ruby G. Garrison Address of Applicant RR #1, Enfield, Halifax Date 19 June 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruby GertrudeAndrews

Born at Mushaboom in the County of Halifax

That Ruby GertrudeAndrews Whose Birth is sought to be registered was

born at Mushaboom Halifax County on March 13, 1922

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

Certificate of Baptism

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