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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000269

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean DorothyRutledge Sex Female

Date of Birth April 11, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Earl Vincent Rutledge MAIDEN NAME of Mother Jennie Rogers

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

Residence of Father when child was born Lewiston Halifax Co. Ns Present address of Father Lewiston, Halifax Co., NS

Occupation of Father at Birth of child Mill Labourer Place of birth of Father Sheet Harbour, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jennie Rutledge Address of Applicant Pomquet, NS Date 3 May 1923

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean DorothyRutledge

Born at Halifax in the County of Halifax

That Jean DorothyRutledge Whose Birth is sought to be registered was

born at Halifax Halifax County on April 11, 1923

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

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