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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100167

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret Joan Jarvis Sex Female

Date of Birth May 21, 1920 Place of Birth LiverpoolCounty of Queens

Name of Father James Jarvis MAIDEN NAME of Mother Lottie May Morrison

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Liverpool

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Jean Ford Address of Applicant Halifax Date June 4, 1982

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret Joan Jarvis

Born at Liverpool in the County of Queens

That Margaret Joan Jarvis Whose Birth is sought to be registered was

born at Liverpool Queens County on May 21, 1920

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

School Record. Census Record. Marriage Extract (for Birth place - shows year of Birth incorrectly as 1919)

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