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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100039

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris DorramoreCribby Sex Female

Date of Birth March 22, 1923 Place of Birth DartmouthCounty of Halifax

Name of Father William Arthur Cribby MAIDEN NAME of Mother Emma Margaret Mannette

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

Residence of Father when child was born Dartmouth Halifax Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Dartmouth, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harry E. Mollins Address of Applicant 15 Inverary Drive, Dartmouth, Halifax Co., NS Date 20 July 1988

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris DorramoreCribby

Born at Dartmouth in the County of Halifax

That Doris DorramoreCribby Whose Birth is sought to be registered was

born at Dartmouth Halifax County on March 22, 1923

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

1. Certificate of baptism from Christ Church, Dartmouth, NS 2. Marriage extract

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