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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100044

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ina MableMromwell Sex Female

Date of Birth September 19, 1922 Place of Birth SouthvilleCounty of Digby

Name of Father Daley Sanford MAIDEN NAME of Mother  Cromwell

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

Residence of Father when child was born Danvers, Digby Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Danvers, Digby

Race Name and present address of Physician in attendance at birth

Signature of Applicant Angela Bailey Address of Applicant PO Box 893, Digby Date 28 April 1986

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ina MableMromwell

Born at Southville in the County of Digby

That Ina MableMromwell Whose Birth is sought to be registered was

born at Southville Digby County on September 19, 1922

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

I have been talking to moms brother who is eighty years old and he says he can remember when mom was born and also we have obtained this baptismal certificate from St. Josephs Parish in Weymouth, Digby

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