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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000504

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hazel EileenUrquhart Sex Female

Date of Birth April 17, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father Leslie Young Urquhart MAIDEN NAME of Mother Rena May Beck

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

Residence of Father when child was born North Sydney Present address of Father deceased

Occupation of Father at Birth of child Accountant Place of birth of Father Hatfield Point, New Brunswick

Race Anglo-saxon Name and present address of Physician in attendance at birth Dr. Rhindress, deceased

Signature of Applicant Brenton D. Smith Address of Applicant Truro Date January 22, 1970

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hazel EileenUrquhart

Born at North Sydney in the County of Cape Breton

That Hazel EileenUrquhart Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on April 17, 1920

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

As her husband I know this has always been considered to be her birthday.

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