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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000834

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice MayJamieson Sex Female

Date of Birth May 10, 1923 Place of Birth WallaceCounty of Cumberland

Name of Father Samuel Purdy Jamieson MAIDEN NAME of Mother Anna Bell Studivan

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alice M. Fletcher Address of Applicant Wilson's Beach, Campobello Island, New Brunswick Date 7 August 1982

Relationship of Applicant to child I am the applicant

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice MayJamieson

Born at Wallace in the County of Cumberland

That Alice MayJamieson Whose Birth is sought to be registered was

born at Wallace Cumberland County on May 10, 1923

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

Registration card of 1940 in Wallace, Cumberland Co., NS Baptismal record and school record

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