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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000573

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruth PresillaBunbury Sex Female

Date of Birth January 4, 1923 Place of Birth BeechvilleCounty of Halifax

Name of Father Sydney Bunbury MAIDEN NAME of Mother Rita Hamilton

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

Residence of Father when child was born Beechville Halifax Co. Ns Present address of Father Nova Scotia

Occupation of Father at Birth of child Place of birth of Father West Indies

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Ruth Cox Address of Applicant RR #1, Beechville, Halifax Co., NS Date 10 August 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruth PresillaBunbury

Born at Beechville in the County of Halifax

That Ruth PresillaBunbury Whose Birth is sought to be registered was

born at Beechville Halifax County on January 4, 1923

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

Census & school record.

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