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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99001612

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marion Stacy MariaRowe Sex Female

Date of Birth May 20, 1920 Place of Birth MartiniqueCounty of Richmond

Name of Father Samuel Rowe MAIDEN NAME of Mother Edna  Shore

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

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

Occupation of Father at Birth of child welder Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Maura Roosette Address of Applicant Sydney Date October 25, 1972

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marion Stacy MariaRowe

Born at Martinique in the County of Richmond

That Marion Stacy MariaRowe Whose Birth is sought to be registered was

born at Martinique Richmond County on May 20, 1920

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

Baptism

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