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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100018

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Priscilla AdaJennex Sex Female

Date of Birth June 20, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father Robert M. Jennex MAIDEN NAME of Mother Jessie Ann Gratto

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

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Electrician Place of birth of Father Lower Jeddore

Race Name and present address of Physician in attendance at birth

Signature of Applicant Priscilla A. Peterson Address of Applicant Blue Acres Date July 6, 1983

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Priscilla AdaJennex

Born at New Glasgow in the County of Pictou

That Priscilla AdaJennex Whose Birth is sought to be registered was

born at New Glasgow Pictou County on June 20, 1921

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

A finding of that date has been made by the Judge of the County Court.

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