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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000192

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 28, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Simon  Peters MAIDEN NAME of Mother Mary Arab

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

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

Occupation of Father at Birth of child Traveller Place of birth of Father Lebanon

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

Signature of Applicant Annie Peters Address of Applicant 136 Gottingen St. Halifax Date October 28, 1954

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That AnniePeters Whose Birth is sought to be registered was

born at Halifax Halifax County on December 28, 1921

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

Taken from records of Saint Marys Cathedral at Halifax as per Certificate of Baptism of Rev. J.E. Mills, Priest at Saint Marys Church.

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