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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000336

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elsie LeoneBezanson Sex Female

Date of Birth January 28, 1923 Place of Birth GarlandCounty of Kings

Name of Father William Austin Bezanson MAIDEN NAME of Mother May Olive Barkhouse

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

Residence of Father when child was born Garland Kings Co. Ns Present address of Father RR #1, New Ross, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Fraxville, New Ross., Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Austin Bezanson Address of Applicant RR #1, New Ross, Lunenburg Co., NS Date April 1969

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elsie LeoneBezanson

Born at Garland in the County of Kings

That Elsie LeoneBezanson Whose Birth is sought to be registered was

born at Garland Kings County on January 28, 1923

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

I, Mrs. May Bezanson, am the mother of Elsie Leone Bezanson

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