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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000347

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mabel ElizabethPage Sex Female

Date of Birth May 29, 1920 Place of Birth LiverpoolCounty of Queens

Name of Father Elkanah Page MAIDEN NAME of Mother Elizabeth Johnson

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

Residence of Father when child was born Liverpool, Queens Co. Present address of Father deceased

Occupation of Father at Birth of child Blacksmith Place of birth of Father Lockeport, Shelburne Co.

Race English Name and present address of Physician in attendance at birth Dr. Jordan Smith

Signature of Applicant Mrs. Mabel Elizabeth Fowler Address of Applicant Red Rock, Ontario Date 18 July 1961

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mabel ElizabethPage

Born at Liverpool in the County of Queens

That Mabel ElizabethPage Whose Birth is sought to be registered was

born at Liverpool Queens County on May 29, 1920

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

1. A certificate of Baptism from Trinity Anglican church and certified correctly taken from Register of Baptisms by E. L. Parsons (Rector) wherin date of birth is shown as May 29, 1920 and Baptism date as October 30, 1921. 2. A certificate by R. E. McClearn (Town Clerk, Liverpool) as to entry in the School register of Liverpool School section No. 8: Mabel Elizabeth Page, Age on 30th of June 1927 - 7 years, 1 month, 1 day. Parent Elkanah Page.

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