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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800015

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Thelma WinifredBaggott Sex Female

Date of Birth May 25, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Annie Baggott

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Anne Beausais Address of Applicant Montreal, Quebec Date 17 January 1944

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Thelma WinifredBaggott

Born at Halifax in the County of Halifax

That Thelma WinifredBaggott Whose Birth is sought to be registered was

born at Halifax Halifax County on May 25, 1922

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

This is the date of birth as recorded in the baptismal records of All Saints Cathedral, Halifax, NS, a certificate of which is hereto attached.

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