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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000198

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Barbara RuthBerryman Sex Female

Date of Birth May 14, 1924 Place of Birth YarmouthCounty of Yarmouth

Name of Father   MAIDEN NAME of Mother Sadie Berryman

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Barbara Ruth Grandy Address of Applicant Yarmouth, NS Date 20 August 1957

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Barbara RuthBerryman

Born at Yarmouth in the County of Yarmouth

That Barbara RuthBerryman Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on May 14, 1924

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

From Doctors records National registration

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