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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000764

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy AgnesHawes Sex Female

Date of Birth April 12, 1920 Place of Birth WestvilleCounty of Pictou

Name of Father Joseph Harry Hawes MAIDEN NAME of Mother Sarah Stewart

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

Residence of Father when child was born Westville Present address of Father deceased

Occupation of Father at Birth of child Miner Place of birth of Father Sheet Harbour

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary E. Hawes Address of Applicant Dartmouth Date February 16, 1976

Relationship of Applicant to child Step-mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy AgnesHawes

Born at Westville in the County of Pictou

That Dorothy AgnesHawes Whose Birth is sought to be registered was

born at Westville Pictou County on April 12, 1920

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

Baptismal Certificate Knowledge as her step-mother

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