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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000135

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Beatrice ElizabethBaker Sex Female

Date of Birth October 12, 1924 Place of Birth FarmingtonCounty of Lunenburg

Name of Father Ormand Baker MAIDEN NAME of Mother Louetta Crouse

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

Residence of Father when child was born Farmington, Lunenburg Co., NS Present address of Father Farmington, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Farmington, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lovetta Crouse Baker Address of Applicant Farmington, Lunenburg Co., NS Date 25 May 1953

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Beatrice ElizabethBaker

Born at Farmington in the County of Lunenburg

That Beatrice ElizabethBaker Whose Birth is sought to be registered was

born at Farmington Lunenburg County on October 12, 1924

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

I am her mother and know the date of her birth (family bible & school record)

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