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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800591

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elsie NormaSibbins Sex Female

Date of Birth November 14, 1922 Place of Birth GraywoodCounty of Annapolis

Name of Father Harris Gordon Sibbins MAIDEN NAME of Mother Daisy Iola Wright

Residence of Father when child was born Graywood, Annapolis Co., NS Present address of Father Graywood, Annapolis Co., NS

Occupation of Father at Birth of child Millwright Place of birth of Father Graywood, Annapolis Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harris Sibbins Address of Applicant Graywood, Annapolis Co., NS Date 22 October 1944

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elsie NormaSibbins

Born at Graywood in the County of Annapolis

That Elsie NormaSibbins Whose Birth is sought to be registered was

born at Graywood Annapolis County on November 14, 1922

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

Being the mother of Elsie Norma Sibbins, I know this to be her correct birthdate. I thought her birth was registered until she recently applied for a birth certificate and have shown the family record to the Justice of the Peace this declaration.

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