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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100074

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eva GenevieveBetts Sex Female

Date of Birth February 9, 1922 Place of Birth AmherstCounty of Cumberland

Name of Father Ross Earl Betts MAIDEN NAME of Mother Gussie Cormier

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

Residence of Father when child was born Amherst, Cumberland Present address of Father

Occupation of Father at Birth of child Place of birth of Father O'Leary, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gussie Betts Address of Applicant 9 1/2 Albion Street, Amherst, Cumberland Date 17 February 1922

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eva GenevieveBetts

Born at Amherst in the County of Cumberland

That Eva GenevieveBetts Whose Birth is sought to be registered was

born at Amherst Cumberland County on February 9, 1922

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

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