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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000438

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eleanor RuthEmbree Sex Female

Date of Birth March 18, 1923 Place of Birth AtholCounty of Cumberland

Name of Father William Herbert Embree MAIDEN NAME of Mother Minnie Luella Crowe

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

Residence of Father when child was born Athol Cumberland Co Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Springhill, Cumberland Co, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Eleanor R. Donelly Address of Applicant RR #1, Middleton, Annapolis Co., NS Date 11 July 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eleanor RuthEmbree

Born at Athol in the County of Cumberland

That Eleanor RuthEmbree Whose Birth is sought to be registered was

born at Athol Cumberland County on March 18, 1923

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

Proof from the Doctor, Statistics Canada, School register from Athol School #59. Also leaf from the family bible, documents of proof enclosed.

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