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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000401

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 11, 1923 Place of Birth StellartonCounty of Pictou

Name of Father Robert Blackwood MAIDEN NAME of Mother Florence Rowe

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

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

Occupation of Father at Birth of child Coal Miner Place of birth of Father Stellarton, Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mildred Bowran Address of Applicant Box 871, Stellarton, Pictou Co., NS Date

Relationship of Applicant to child 27 January 1971

AFFIDAVIT

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

Born at Stellarton in the County of Pictou

That MildredBlackwood Whose Birth is sought to be registered was

born at Stellarton Pictou County on April 11, 1923

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

Salvation Army Cradle Roll (enclosed)

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