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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000399

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marion FayLoye Sex

Date of Birth August 1, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father John Herbert Loye MAIDEN NAME of Mother Julia Conrad

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

Residence of Father when child was born Halifax Present address of Father 6214 Cedar St.

Occupation of Father at Birth of child Blank Place of birth of Father Lunenburg

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

Signature of Applicant Marion F. MacLeod Address of Applicant 21 Montgomery St., St. Johns, NFLD Date August 18, 1964

Relationship of Applicant to child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marion FayLoye

Born at Halifax in the County of Halifax

That Marion FayLoye Whose Birth is sought to be registered was

born at Halifax Halifax County on August 1, 1920

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

Baptismal Certificate, Marriage Record

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