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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000275

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jeanette LouiseAndrews Sex Female

Date of Birth July 31, 1923 Place of Birth MushaboomCounty of Halifax

Name of Father George Angus Andrews MAIDEN NAME of Mother Hilda Gertrude Boutilier

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

Residence of Father when child was born Mushaboom Halifax Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Mushaboom, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jeanette Louise Andrews Address of Applicant Tancook Island, Lunenburg Co., NS Date 14 April 1962

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jeanette LouiseAndrews

Born at Mushaboom in the County of Halifax

That Jeanette LouiseAndrews Whose Birth is sought to be registered was

born at Mushaboom Halifax County on July 31, 1923

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

Being an older sister, I remember the day she was born.

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