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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000295

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 4, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father John Budden MAIDEN NAME of Mother Mary Louise Clarke

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

Residence of Father when child was born Boyd Street, Glace Bay, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Carbonear, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Louise Johnstone Address of Applicant 6 Morrison Street, Glace Bay, Cape Breton Co., NS Date 21 November 1966

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Annie LouiseBudden Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 4, 1924

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

It is the date shown on the records of Epworth United Church, Glace Bay, a certificate based on which is attached

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