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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000466

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joan FrancesPenny Sex Female

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

Name of Father Joseph J. Penny MAIDEN NAME of Mother Lucy Ann Penny

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

Residence of Father when child was born 341 Brunswick St. Halifax Present address of Father deceased

Occupation of Father at Birth of child Ship Chandler Place of birth of Father Fortune Bay, Newfoundland

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

Signature of Applicant William Penny Address of Applicant 7101 Lahser Road, Birmingham, Michigan, USA Date August 13, 1971

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joan FrancesPenny

Born at Halifax in the County of Halifax

That Joan FrancesPenny Whose Birth is sought to be registered was

born at Halifax Halifax County on June 28, 1921

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

Baptismal Certificate

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