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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600785

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elsie AnneFerguson Sex Female

Date of Birth July 17, 1922 Place of Birth Yarmouth NorthCounty of Yarmouth

Name of Father Arthur Lorn Ferguson MAIDEN NAME of Mother Mabel Doucette

Residence of Father when child was born Yarmouth North, Yarmouth Co., NS Present address of Father Yarmouth North, Yarmouth Co., NS

Occupation of Father at Birth of child Mill Hand (cotton) Place of birth of Father Charlottetown, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Arthur Lorn Ferguson Address of Applicant Yarmouth North, Yarmouth Co., NS Date 1 February 1943

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elsie AnneFerguson

Born at Yarmouth North in the County of Yarmouth

That Elsie AnneFerguson Whose Birth is sought to be registered was

born at Yarmouth North Yarmouth County on July 17, 1922

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

Owing to the fact we have a family bible for such purposes it is recorded that Elsie Anne Ferguson was born July 17, 1922. A. J. Fuller, MD of Yarmouth now deceased was the attending physician of the said Elsie Anne Ferguson.

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