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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900334

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie BerthaMcRae Sex Female

Date of Birth July 25, 1922 Place of Birth Upper BrooksideCounty of Colchester

Name of Father Roy McRae MAIDEN NAME of Mother Ella McNutt

Residence of Father when child was born Upper Brookside, Colchester Co., NS Present address of Father Not living

Occupation of Father at Birth of child Farmer Place of birth of Father Nuttby, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Roy McRae Address of Applicant Upper Brookside, Colchester Co., NS Date 7 May 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie BerthaMcRae

Born at Upper Brookside in the County of Colchester

That Annie BerthaMcRae Whose Birth is sought to be registered was

born at Upper Brookside Colchester County on July 25, 1922

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

I am the mother of Annie Bertha McRae

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