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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000346

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rose EttaFanning Sex Female

Date of Birth October 21, 1923 Place of Birth StellartonCounty of Pictou

Name of Father Handley Fanning MAIDEN NAME of Mother Dillice Latham

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

Residence of Father when child was born Rutherford Street Stellarton Pictou Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Guysborough Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rose Etta Fanning Address of Applicant 4 Cedar Crescent, St. Hubert, Quebec Date 5 December 1968

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rose EttaFanning

Born at Stellarton in the County of Pictou

That Rose EttaFanning Whose Birth is sought to be registered was

born at Stellarton Pictou County on October 21, 1923

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

Information from census records, Dominion Bureau of Statistics, Ottawa, Ontario. Photostatic copy of my marriage certificate dated 10 April 1943 in Stellarton, NS.

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