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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700397

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Constance AlbertaAnderson Sex Female

Date of Birth May 23, 1922 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father Samuel Spurgeon Anderson MAIDEN NAME of Mother Bellbeniee Marsman

Residence of Father when child was born Hammonds Plains, Halifax Co., NS Present address of Father Hammonds Plains, Halifax Co., NS

Occupation of Father at Birth of child Cooper Place of birth of Father Hammonds Plains, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bellbeniee Anderson Address of Applicant Hammonds Plains, Halifax Co., NS Date 18 October 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Constance AlbertaAnderson

Born at Hammonds Plains in the County of Halifax

That Constance AlbertaAnderson Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on May 23, 1922

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

That I am the mother of Constance Alberta Anderson

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