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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000852

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Goldie EileenEaton Sex Female

Date of Birth October 27, 1922 Place of Birth KentvilleCounty of Kings

Name of Father Fenwick Burpee Eaton MAIDEN NAME of Mother Margaret Elizabeth Ruggles

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

Residence of Father when child was born Belcher Street, Kentville, Kings Present address of Father Deceased (1945)

Occupation of Father at Birth of child Farmer Place of birth of Father Kentville

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Margaret E. Cooper Address of Applicant RR #1, Middle Musquodoboit, Halifax Date May 1981

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Goldie EileenEaton

Born at Kentville in the County of Kings

That Goldie EileenEaton Whose Birth is sought to be registered was

born at Kentville Kings County on October 27, 1922

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

I am her mother and I gave birth to my daughter at my home in Kentville.

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