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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000548

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anita PearlPerry Sex

Date of Birth May 6, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Albert Perry MAIDEN NAME of Mother Agnes Hope

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

Residence of Father when child was born Halifax Present address of Father 7077 Quinpool Road, Halifax

Occupation of Father at Birth of child Army Place of birth of Father Halifax

Race English Name and present address of Physician in attendance at birth Deceased

Signature of Applicant Mrs. Sharon A. Havill Address of Applicant 11 Southill Drive, Halifax Date May 21, 1970

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anita PearlPerry

Born at Halifax in the County of Halifax

That Anita PearlPerry Whose Birth is sought to be registered was

born at Halifax Halifax County on May 6, 1920

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

Cradle Roll School Record Marriage

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