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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700500

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie LouiseCoventry Sex Female

Date of Birth February 7, 1923 Place of Birth East Branch River JohnCounty of Pictou

Name of Father Kenneth Coventry MAIDEN NAME of Mother Anna Bell Innis

Residence of Father when child was born East Branch River John, Pictou Co., NS Present address of Father East Branch River John, Pictou Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father East Branch River John, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kenneth Coventry Address of Applicant East Branch River John, Pictou Co., NS Date 4 June 1943

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie LouiseCoventry

Born at East Branch River John in the County of Pictou

That Jessie LouiseCoventry Whose Birth is sought to be registered was

born at East Branch River John Pictou County on February 7, 1923

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

I have a record in our family bible of all the births in my family and it is stated there that Jessie Louise Coventry my daughter was born on February 7th, 1923.

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