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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000099

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Myrtle Isa PriscillaLeFresne Sex Female

Date of Birth May 22, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father Jabez Edward  LeFresne MAIDEN NAME of Mother Frances Elizabeth Smith

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

Residence of Father when child was born New Glasgow Present address of Father Not living

Occupation of Father at Birth of child Janitor at Aberdeen Hospital, New Glasgow Place of birth of Father Newfoundland

Race Newfoundlander Name and present address of Physician in attendance at birth Dr. Ballem, New Glasgow

Signature of Applicant Joseph Jabez LeFresne Address of Applicant New Glasgow Date July 18, 1948

Relationship of Applicant to child brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Myrtle Isa PriscillaLeFresne

Born at New Glasgow in the County of Pictou

That Myrtle Isa PriscillaLeFresne Whose Birth is sought to be registered was

born at New Glasgow Pictou County on May 22, 1920

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

I am her brother - being 12 years older than Myrtle and I can remember exactly when she was born as I was at home then.

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