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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000791

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Betty MayTitus Sex Female

Date of Birth April 20, 1924 Place of Birth YarmouthCounty of Yarmouth

Name of Father John Freeman MAIDEN NAME of Mother Marjorie Veronica Graves

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

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

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 Betty May Roberts Address of Applicant Box 115, Rothesay, New Brunswick, E0G 2W0 Date 29 May 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Betty MayTitus

Born at Yarmouth in the County of Yarmouth

That Betty MayTitus Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on April 20, 1924

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

School records - confirmation - marriage certificate & baptism certificate which you already have

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