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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000453

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Florence JeanGeizer Sex Female

Date of Birth July 12, 1921 Place of Birth FairviewCounty of Halifax

Name of Father Stanley Geizer MAIDEN NAME of Mother Sadie Doyle

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 Railroad Place of birth of Father Halifax

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

Signature of Applicant Sandra Walsh Address of Applicant Lower Sackville Date February 22, 1971

Relationship of Applicant to child daughter in law

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Florence JeanGeizer

Born at Fairview in the County of Halifax

That Florence JeanGeizer Whose Birth is sought to be registered was

born at Fairview Halifax County on July 12, 1921

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

Certificate of Baptism

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