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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000636

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary ArleanEisnor Sex Female

Date of Birth April 19, 1921 Place of Birth LaplandCounty of Lunenburg

Name of Father Ingram Eisnor MAIDEN NAME of Mother Florence Eisnor

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Arlean Eisnor Address of Applicant Lapland Date May 20, 1976

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary ArleanEisnor

Born at Lapland in the County of Lunenburg

That Mary ArleanEisnor Whose Birth is sought to be registered was

born at Lapland Lunenburg County on April 19, 1921

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

Since the DATE of birth has been verified by the enclosed Transcript of Baptism The PLACE of birth is of importance and I can remember where all the children was born I fact I can remember when Marys father and mother married.

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