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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800259

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice GertrudeHolmes Sex Female

Date of Birth January 12, 1923 Place of Birth Caribou RiverCounty of Pictou

Name of Father Chester Daniel Holmes MAIDEN NAME of Mother Ida MacDonald

Residence of Father when child was born Caribou River, Pictou Co., NS Present address of Father Fox Brook, Pictou Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Hedgeville, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Laurence A. Holmes Address of Applicant River John, Pictou Co., NS Date 25 July 1944

Relationship of Applicant to child Uncle

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice GertrudeHolmes

Born at Caribou River in the County of Pictou

That Alice GertrudeHolmes Whose Birth is sought to be registered was

born at Caribou River Pictou County on January 12, 1923

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

Have known my niece Alice Gertrude Holmes since childhood, have always lived near her and always have believed and do believe that the date of her birth is as above stated, viz January 12th, 1923

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