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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100049

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie ElizabethThompson Sex Female

Date of Birth September 16, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Eldon Raymond Thompson MAIDEN NAME of Mother Maud Prouse

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 Bank Clerk Place of birth of Father Merigomish

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Elizabeth Burke Address of Applicant Moncton Date September 26, 1979

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie ElizabethThompson

Born at Halifax in the County of Halifax

That Marie ElizabethThompson Whose Birth is sought to be registered was

born at Halifax Halifax County on September 16, 1920

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

The attached documents as well as having known this person for the past 40 years. - George Melanson

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