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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000823

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Irene IsabelMacDonald Sex Female

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

Name of Father   MAIDEN NAME of Mother Annie MacDonald

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Irene I. Verge Address of Applicant 3601 Deal St. Halifax Date April 19, 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Irene IsabelMacDonald

Born at Halifax in the County of Halifax

That Irene IsabelMacDonald Whose Birth is sought to be registered was

born at Halifax Halifax County on March 28, 1921

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

Statistics Extract from marriage School Record

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