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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200494

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 28, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Peters MAIDEN NAME of Mother Phoebe Arab

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

Residence of Father when child was born Halifax Present address of Father 253 Brunswick St.

Occupation of Father at Birth of child Pedlar Place of birth of Father Syria

Race Name and present address of Physician in attendance at birth Mrs. Kelly

Signature of Applicant Phoebe Peters Address of Applicant 75 Buckingham St. Date 01 April 1920

Relationship of Applicant to child mother

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That MarianPeters Whose Birth is sought to be registered was

born at Halifax Halifax County on December 28, 1919

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

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