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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000957

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean Isabel Roy Sex Female

Date of Birth June 26, 1920 Place of Birth MacPhersons MillsCounty of Pictou

Name of Father Walter Scott Roy MAIDEN NAME of Mother Hazel Anna Coulson

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

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Coal miner Place of birth of Father Scotland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jean Isabel Roy Ross Address of Applicant Stellarton Date February 1, 1979

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean Isabel Roy

Born at MacPhersons Mills in the County of Pictou

That Jean Isabel Roy Whose Birth is sought to be registered was

born at MacPhersons Mills Pictou County on June 26, 1920

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

That I knew the applicant since she came to MacPherson's Mills at the age of two weeks. She always went by the name Greta Pearl MacPherson until she left MacPherson's Mills. That I have kept in touch with the applicant since she reverted back to her real name Jean Isabel Ross. I believe her birth date to be June 26, 1920. As I attended all through school with her being one year older.

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