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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000132

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Myrtle JeanWeatherbie Sex Female

Date of Birth June 12, 1923 Place of Birth TatamagoucheCounty of Colchester

Name of Father James Weatherbie MAIDEN NAME of Mother Sadie B. Chambers

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

Residence of Father when child was born Tatamagouche Colchester Co. Ns Present address of Father Tatamagouche, Colchester Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Tatamagouche, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant James Weatherbie Address of Applicant Tatamagouche, Colchester Co., NS Date 28 July 1951

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Myrtle JeanWeatherbie

Born at Tatamagouche in the County of Colchester

That Myrtle JeanWeatherbie Whose Birth is sought to be registered was

born at Tatamagouche Colchester County on June 12, 1923

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

1. I am her father and remember the date of her birth 2. Record of birth by Dr. Dan Murray certified by his signature below, taken from his records.

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