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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000861

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dulcie Jean Dort Sex Female

Date of Birth October 24, 1920 Place of Birth Dorts CoveCounty of Guysborough

Name of Father Howard Vernon Dort MAIDEN NAME of Mother Laura Belle Sparks

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

Residence of Father when child was born Dort's Cove Present address of Father dead

Occupation of Father at Birth of child Fisherman Place of birth of Father Dort's Cove

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dulcie Jean McKinnon Address of Applicant New Waterford Date September 16, 1977

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dulcie Jean Dort

Born at Dorts Cove in the County of Guysborough

That Dulcie Jean Dort Whose Birth is sought to be registered was

born at Dorts Cove Guysborough County on October 24, 1920

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

I am the mother of Dulcie Jean Dort - Laura B. Dort

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