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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900632

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Audrey PearlDelaney Sex Female

Date of Birth February 24, 1921 Place of Birth Upper BrooksideCounty of Colchester

Name of Father Malcolm Delaney MAIDEN NAME of Mother Eydia McCallum

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Upper Brookside, Colchester Co., NS Present address of Father Upper Brookside, Colchester Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Malcolm Delaney Address of Applicant Upper Brookside, Colchester Co., NS Date 24 July 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Audrey PearlDelaney

Born at Upper Brookside in the County of Colchester

That Audrey PearlDelaney Whose Birth is sought to be registered was

born at Upper Brookside Colchester County on February 24, 1921

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

I am her mother

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