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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600323

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris JeanBattist Sex Female

Date of Birth March 11, 1923 Place of Birth Caribou RiverCounty of Pictou

Name of Father Charles Fay Battist MAIDEN NAME of Mother Bessie Catharine MacIntosh

Residence of Father when child was born Caribou River, Pictou Co., NS Present address of Father Scotch Hill East, Pictou Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father River John, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Charles F. Battist Address of Applicant Scotch Hill East, Pictou Co., NS Date 17 July 1934

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris JeanBattist

Born at Caribou River in the County of Pictou

That Doris JeanBattist Whose Birth is sought to be registered was

born at Caribou River Pictou County on March 11, 1923

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

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