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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700900

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elda ClaudiaO'Brien Sex Female

Date of Birth April 26, 1923 Place of Birth West LeicesterCounty of Cumberland

Name of Father John Chase O'Brien MAIDEN NAME of Mother Nellie Cora Allen

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

Occupation of Father at Birth of child Farmer Place of birth of Father Port Howe, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. John C. O'Brien Address of Applicant West Leicester, Cumberland Co., NS Date 19 April 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elda ClaudiaO'Brien

Born at West Leicester in the County of Cumberland

That Elda ClaudiaO'Brien Whose Birth is sought to be registered was

born at West Leicester Cumberland County on April 26, 1923

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

I am the mother of Elda Claudia O'Brien and as such have personal knowledge that the above facts as stated are true in every particular.

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