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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000672

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jeanette CeceliaRoss Sex Female

Date of Birth July 4, 1923 Place of Birth ThorburnCounty of Pictou

Name of Father John Henry Ross MAIDEN NAME of Mother Eileen Elizabeth Murphy

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Jeanette C. O'Brien Address of Applicant #39 - 4204 P. V. Road, Vernon, British Columbia Date 29 August 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jeanette CeceliaRoss

Born at Thorburn in the County of Pictou

That Jeanette CeceliaRoss Whose Birth is sought to be registered was

born at Thorburn Pictou County on July 4, 1923

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

Baptismal certificate Army discharge papers

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