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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000368

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anita NormaCrouse Sex Female

Date of Birth May 28, 1923 Place of Birth ChelseaCounty of Lunenburg

Name of Father Hardy Crouse MAIDEN NAME of Mother Addie Bell Crouse

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

Residence of Father when child was born Chelsea Lunenburg Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Chelsea, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anita Norma Cranton Address of Applicant 6428 Quinpool Road, Halifax, NS Date 3 November 1969

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anita NormaCrouse

Born at Chelsea in the County of Lunenburg

That Anita NormaCrouse Whose Birth is sought to be registered was

born at Chelsea Lunenburg County on May 28, 1923

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

Census record School record

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