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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000704

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie RosellaTurnbull Sex Female

Date of Birth September 12, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Edward Turnbull MAIDEN NAME of Mother Florence Harvey

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

Residence of Father when child was born Glace Bay Cape Breton Co. Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant A. Johannsen Address of Applicant 880 Gravel Drive, Hanmer, Ontario Date 5 March 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie RosellaTurnbull

Born at Glace Bay in the County of Cape Breton

That Annie RosellaTurnbull Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on September 12, 1923

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

It is written on my certificate of birth and baptism

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