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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000503

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mamie HelenHartlin Sex Female

Date of Birth June 10, 1921 Place of Birth Terence BayCounty of Halifax

Name of Father Foster Hartlin MAIDEN NAME of Mother Lily  Slaunwhite

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

Residence of Father when child was born Terence Bay Present address of Father Terence Bay

Occupation of Father at Birth of child Fisherman Place of birth of Father Halifax County

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

Signature of Applicant Charles J. Doucette Address of Applicant 3106 Hilford St. Halifax Date October 4, 1972

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mamie HelenHartlin

Born at Terence Bay in the County of Halifax

That Mamie HelenHartlin Whose Birth is sought to be registered was

born at Terence Bay Halifax County on June 10, 1921

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

Baptismal Certificate

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