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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000079

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anita CatherineDavid Sex Female

Date of Birth July 2, 1923 Place of Birth Port FelixCounty of Guysborough

Name of Father William Walter David MAIDEN NAME of Mother Lucy May Fougere

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

Residence of Father when child was born Port Felix Guysborough Co. Ns Present address of Father Dead

Occupation of Father at Birth of child Carpenter Place of birth of Father Port Felix, Guysborough Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. William Pelerine Address of Applicant Halifax, NS Date 2 August 1948

Relationship of Applicant to child Older sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anita CatherineDavid

Born at Port Felix in the County of Guysborough

That Anita CatherineDavid Whose Birth is sought to be registered was

born at Port Felix Guysborough County on July 2, 1923

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

I am an older sister, senior by 7 years and was present in the home at time of birth of Anita Catherine David and well remember the event.

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