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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700230

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MarieRankin Sex Female

Date of Birth May 15, 1923 Place of Birth InvernessCounty of Inverness

Name of Father Ronald Rankin MAIDEN NAME of Mother Jessie Campbell

Residence of Father when child was born Inverness, NS Present address of Father Riverville, Inverness Co., NS

Occupation of Father at Birth of child Miner Place of birth of Father Sight Point, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Jessie Rankin Address of Applicant Riverville, Inverness Co., NS Date 22 May 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MarieRankin

Born at Inverness in the County of Inverness

That MarieRankin Whose Birth is sought to be registered was

born at Inverness Inverness County on May 15, 1923

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

I am the mother of the said child and the fact and date of birth are well known to me.

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