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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000610

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Reta MaeHaines Sex Female

Date of Birth June 20, 1924 Place of Birth RosswayCounty of Digby

Name of Father   MAIDEN NAME of Mother Lottie Haines

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 Reta May Baker Address of Applicant Site 2, Box 4, Windsor Junction, Halifax Co., NS Date 7 February 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Reta MaeHaines

Born at Rossway in the County of Digby

That Reta MaeHaines Whose Birth is sought to be registered was

born at Rossway Digby County on June 20, 1924

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

Census and National Registration records

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