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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90700067

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sophia MatildaWatts Sex Female

Date of Birth April 24, 1921 Place of Birth Port HoodCounty of Inverness

Name of Father Ernest Smith Watts MAIDEN NAME of Mother Annie Bell Fraser

Residence of Father when child was born Port Hood, Cape Breton Co., NS Present address of Father Port Hood, Cape Breton Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Port Hood, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sophia Matilda Watts Address of Applicant Port Hood, Cape Breton Co., NS Date 15 November 1938

Relationship of Applicant to child Self and mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sophia MatildaWatts

Born at Port Hood in the County of Inverness

That Sophia MatildaWatts Whose Birth is sought to be registered was

born at Port Hood Inverness County on April 24, 1921

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

I am the mother of the following birth and I declared the above statement is true

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