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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000222

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Maise MatildaJennings Sex Female

Date of Birth July 11, 1920 Place of Birth Birchy Head, Mill CoveCounty of Lunenburg

Name of Father Stanton Jennings MAIDEN NAME of Mother Dora Jennings

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

Residence of Father when child was born Mill Cove, Lunenburg Co. Present address of Father deceased

Occupation of Father at Birth of child Lumberman and Fisherman Place of birth of Father Mill Cove, Lunenburg Co.

Race English Name and present address of Physician in attendance at birth Dr. Skinner, Mahone Bay, Lunenburg Co.

Signature of Applicant Maise Matilda Jennings Address of Applicant 38 Artz Street, Halifax Date 26 July 1954

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maise MatildaJennings

Born at Birchy Head, Mill Cove in the County of Lunenburg

That Maise MatildaJennings Whose Birth is sought to be registered was

born at Birchy Head, Mill Cove Lunenburg County on July 11, 1920

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

I am her mother and know all the facts (Baptism record)

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