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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000038

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 14, 1923 Place of Birth YarmouthCounty of Yarmouth

Name of Father John Cromwell MAIDEN NAME of Mother Regina Keeling

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

Residence of Father when child was born Yarmouth Ns Present address of Father Yarmouth, NS

Occupation of Father at Birth of child Labourer Place of birth of Father Weymouth, Digby Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Regina Cromwell Address of Applicant Yarmouth, NS Date 6 March 1947

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Yarmouth in the County of Yarmouth

That Annie BerniceCromwell Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on December 14, 1923

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

I am the mother of Annie Bernice Cromwell

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