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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000027

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bertha MadelineSpencer Sex Female

Date of Birth July 31, 1921 Place of Birth RockinghamCounty of Halifax

Name of Father Arthur Thomas Spencer MAIDEN NAME of Mother Susanna Young

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

Residence of Father when child was born Rockingham Present address of Father 669 Barrington St. Halifax

Occupation of Father at Birth of child Merchant Place of birth of Father Cul-de-Sac, Newfoundland

Race English Name and present address of Physician in attendance at birth Dr. Daley

Signature of Applicant Arthur T. Spencer Address of Applicant 669 Barrington St. Halifax Date August 16, 1946

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bertha MadelineSpencer

Born at Rockingham in the County of Halifax

That Bertha MadelineSpencer Whose Birth is sought to be registered was

born at Rockingham Halifax County on July 31, 1921

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

I am her father.

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