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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000295

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Merna MarieEisnor Sex Female

Date of Birth November 2, 1920 Place of Birth Indian PointCounty of Lunenburg

Name of Father John Willis Eisnor MAIDEN NAME of Mother Matilda Levy

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

Residence of Father when child was born Indian Point, Lunenburg Co. Present address of Father Chester, Lunenburg Co.

Occupation of Father at Birth of child Cook Place of birth of Father Indian Point, Lunenburg Co.

Race Canadian Name and present address of Physician in attendance at birth Dr. Cochrane

Signature of Applicant Matilda Eisnor Address of Applicant Chester, Lunenburg Co. Date 19 March 1958

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Merna MarieEisnor

Born at Indian Point in the County of Lunenburg

That Merna MarieEisnor Whose Birth is sought to be registered was

born at Indian Point Lunenburg County on November 2, 1920

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

I am her mother. National registration census record.

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