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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000816

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen CatherineBezanson Sex Female

Date of Birth December 22, 1923 Place of Birth New GlasgowCounty of Pictou

Name of Father Alfred Bezanson MAIDEN NAME of Mother Elizabeth Forestall

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Guysborough Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen C. McKinnon Address of Applicant 88 Gloucester Crescent, Calgary, Alberta Date 22 September 1981

Relationship of Applicant to child Applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen CatherineBezanson

Born at New Glasgow in the County of Pictou

That Helen CatherineBezanson Whose Birth is sought to be registered was

born at New Glasgow Pictou County on December 22, 1923

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

My parents informed me the date of my birth is as stated above and have always celebrated my birthday on December 22nd.

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