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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000629

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary PearlDoiron Sex

Date of Birth December 15, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Theophile Doiron MAIDEN NAME of Mother Cecile Michon

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

Residence of Father when child was born 651 Robie Street Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father New Brunswick

Race White Name and present address of Physician in attendance at birth G.A. MacIntosh

Signature of Applicant Pearl Scagliola Address of Applicant 430 May St. Date November 30, 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary PearlDoiron

Born at Halifax in the County of Halifax

That Mary PearlDoiron Whose Birth is sought to be registered was

born at Halifax Halifax County on December 15, 1920

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

Baptismal paper. Baptised at St. Joseph Church, Halifax, Dec. 20, 1920

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