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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000049

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 23, 1920 Place of Birth Terrence BayCounty of Halifax

Name of Father David Jollimore MAIDEN NAME of Mother Sadie Slaunwhite

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

Residence of Father when child was born Terrence Bay Present address of Father Terrence Bay

Occupation of Father at Birth of child Fisherman Place of birth of Father Terrence Bay

Race Dutch Name and present address of Physician in attendance at birth

Signature of Applicant Rhoda Jollimore Address of Applicant 22 Bloomfield St. Halifax Date September 8, 1947

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Terrence Bay in the County of Halifax

That RhodaJollimore Whose Birth is sought to be registered was

born at Terrence Bay Halifax County on February 23, 1920

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

Certificate of Baptism

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