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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000158

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lottie Evelyn MaryNewell Sex Female

Date of Birth December 31, 1924 Place of Birth HebronCounty of Yarmouth

Name of Father Frank Newell MAIDEN NAME of Mother Margaret Rose Rhyno Muise

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

Residence of Father when child was born Yarmouth Present address of Father Deceased

Occupation of Father at Birth of child Meat Cutter Place of birth of Father Yarmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Rose Muise Address of Applicant 20 Argyle Street, Yarmouth, NS Date 30 May 1955

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lottie Evelyn MaryNewell

Born at Hebron in the County of Yarmouth

That Lottie Evelyn MaryNewell Whose Birth is sought to be registered was

born at Hebron Yarmouth County on December 31, 1924

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

I am the mother and know the above facts to be true

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