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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401266

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dollena MayMcPherson Sex Female

Date of Birth October 14, 1906 Place of Birth TangierCounty of Halifax

Name of Father William Walter McPherson MAIDEN NAME of Mother Matilda Jennings

Residence of Father when child was born Tangier Present address of Father Deceased

Occupation of Father at Birth of child Sea Captain Place of birth of Father Tangier

Race Scottish Name and present address of Physician in attendance at birth

Signature of Applicant William C. McPherson Address of Applicant Dartmouth Date 29 January 1926

Relationship of Applicant to child brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dollena MayMcPherson

Born at Tangier in the County of Halifax

That Dollena MayMcPherson Whose Birth is sought to be registered was

born at Tangier Halifax County on October 14, 1906

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

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