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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100067

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruth LouiseGrant Sex Female

Date of Birth June 22, 1923 Place of Birth Annapolis RoyalCounty of Annapolis

Name of Father Frank Leslie Grant MAIDEN NAME of Mother Robina May Fraser

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

Residence of Father when child was born Annapolis Royal Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Annapolis Royal

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. May F. Grant Address of Applicant Shearwater Date March 15, 1955

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruth LouiseGrant

Born at Annapolis Royal in the County of Annapolis

That Ruth LouiseGrant Whose Birth is sought to be registered was

born at Annapolis Royal Annapolis County on June 22, 1923

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

Mother Family Bible mother signature re place of birth

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