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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100186

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of FlorenceWyse Sex Female

Date of Birth January 22, 1920 Place of Birth DartmouthCounty of Halifax

Name of Father David Wyse MAIDEN NAME of Mother Orie Alice Kane

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

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

Occupation of Father at Birth of child Dartmouth Coal & Supply Company Place of birth of Father Loon Lake

Race Name and present address of Physician in attendance at birth

Signature of Applicant Florence Kelsey Address of Applicant Sackville Date October 22, 1982

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of FlorenceWyse

Born at Dartmouth in the County of Halifax

That FlorenceWyse Whose Birth is sought to be registered was

born at Dartmouth Halifax County on January 22, 1920

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

School Record Marriage Extract Parents Main Record

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