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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000294

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of DorothyReynolds Sex Female

Date of Birth January 31, 1923 Place of Birth SpringhillCounty of Cumberland

Name of Father John Angus Reynolds MAIDEN NAME of Mother Alberta Viola Carter

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

Residence of Father when child was born Springhill Cumberland Co. Ns Present address of Father River Philip, Cumberland Co., NS

Occupation of Father at Birth of child Coal Miner Place of birth of Father Hunter River, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alberta V. Reynolds Address of Applicant Springhill, Cumberland Co., NS Date 8 February 1923

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of DorothyReynolds

Born at Springhill in the County of Cumberland

That DorothyReynolds Whose Birth is sought to be registered was

born at Springhill Cumberland County on January 31, 1923

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

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