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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000963

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Myrtle LoraineYork Sex Female

Date of Birth October 4, 1921 Place of Birth Eastern PassageCounty of Halifax

Name of Father James B. York MAIDEN NAME of Mother Amelia Silver

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

Residence of Father when child was born Eastern Passage Present address of Father deceased

Occupation of Father at Birth of child Blacksmith Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mytle L. Slaunwhite Address of Applicant Eastern Passage Date February 27, 1982

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Myrtle LoraineYork

Born at Eastern Passage in the County of Halifax

That Myrtle LoraineYork Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on October 4, 1921

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

Certificate of Baptism Marriage Extract (re mothers maiden name parents marriage extract 467-146 (1897 Halifax)

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