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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600692

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bedina MayJackson Sex Female

Date of Birth February 27, 1921 Place of Birth TruroCounty of Colchester

Name of Father Kenneth Jackson MAIDEN NAME of Mother Leona Byard

Residence of Father when child was born Truro, Colchester Co., NS Present address of Father New York, USA

Occupation of Father at Birth of child Labourer Place of birth of Father Truro, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sadie Jewell Address of Applicant Truro, Colchester Co., NS Date 26 August 1938

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bedina MayJackson

Born at Truro in the County of Colchester

That Bedina MayJackson Whose Birth is sought to be registered was

born at Truro Colchester County on February 27, 1921

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

I am the Aunt of the person sought to be registered and was present during or at time of birth.

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