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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700564

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy MaeFowler Sex Female

Date of Birth February 14, 1922 Place of Birth Highland View Hospital, AmherstCounty of Cumberland

Name of Father John L. Fowler MAIDEN NAME of Mother Lydia Alexander

Residence of Father when child was born Amherst, Cumberland Co., NS Present address of Father Amherst, Cumberland Co., NS

Occupation of Father at Birth of child Carpenter & Mason Place of birth of Father Apple River, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John L. Fowler Address of Applicant Amherst, Cumberland Co., NS Date 8 April 1943

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy MaeFowler

Born at Highland View Hospital, Amherst in the County of Cumberland

That Dorothy MaeFowler Whose Birth is sought to be registered was

born at Highland View Hospital, Amherst Cumberland County on February 14, 1922

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

I am the father of the above named Dorothy Mae Fowler and was living at home at the time and remember the occasion perfectly well as I conveyed her to the hospital at the date of birth of Dorothy Mae Fowler.

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