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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100122

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie MayKing Sex Female

Date of Birth February 1, 1922 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Henry King MAIDEN NAME of Mother Sarah Bell Antle

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

Residence of Father when child was born Glace Bay, Cape Breton Present address of Father

Occupation of Father at Birth of child Place of birth of Father Perrys Cove, Bay Verte, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie May King Address of Applicant 24 Colborne Street West, Apt. 506, Brantford, Ontario Date February 1990

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie MayKing

Born at Glace Bay in the County of Cape Breton

That Annie MayKing Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on February 1, 1922

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

I was advised by my parents, William Henry King and Sarah Bell King and my sister, Pearl Dearing, who resides in Louisbourg that I was born on February 1, 1922. See attached letter from Epworth United Church, Glace Bay

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