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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000042

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 5, 1924 Place of Birth Maple BrookCounty of Inverness

Name of Father John H. MacEachern MAIDEN NAME of Mother Catherine MacIntyre

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

Residence of Father when child was born Maple Brook, Inverness Co., NS Present address of Father Maple Brook, Inverness Co., NS

Occupation of Father at Birth of child Farming Place of birth of Father Judique, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John H. McEachern Address of Applicant Maple Brook, Inverness Co., NS Date 25 November 1947

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Maple Brook in the County of Inverness

That Annie SarahMacEachern Whose Birth is sought to be registered was

born at Maple Brook Inverness County on July 5, 1924

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

I am the father of this child and recall clearly the circumstances and these are substantiated by a baptismal certificate here enclosed as copied from the records and duly signed and containing the parish seal of the Parish Church where said child was baptized

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