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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600318

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Madeleine FrancesPinch Sex Female

Date of Birth March 23, 1922 Place of Birth MelansonCounty of Kings

Name of Father Douglas Clyde Pinch MAIDEN NAME of Mother Viola Beatrice Kelly

Residence of Father when child was born Melanson, Kings Co., NS Present address of Father Melanson, Kings Co., NS

Occupation of Father at Birth of child Labourer Place of birth of Father Wolfville, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Douglas C. Pinch Address of Applicant Melanson, Kings Co., NS Date 3 March 1934

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Madeleine FrancesPinch

Born at Melanson in the County of Kings

That Madeleine FrancesPinch Whose Birth is sought to be registered was

born at Melanson Kings County on March 23, 1922

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

I, W. E. Anderson of Melanson, know those twins were born on the date herein stated from the fact that I lived a close neighbour of his.

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