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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000378

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of FlorenceMacMaster Sex Female

Date of Birth November 23, 1924 Place of Birth Rear Little JudiqueCounty of Inverness

Name of Father   MAIDEN NAME of Mother  MacMaster

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. Florence MacMillan Address of Applicant RR #2, Port Hood, Inverness Co., NS Date 20 September 1972

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of FlorenceMacMaster

Born at Rear Little Judique in the County of Inverness

That FlorenceMacMaster Whose Birth is sought to be registered was

born at Rear Little Judique Inverness County on November 23, 1924

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

Certificate of Baptism

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