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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100040

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MabelHollett Sex Female

Date of Birth November 26, 1921 Place of Birth Lower Sandy PointCounty of Shelburne

Name of Father Levi Hollett MAIDEN NAME of Mother Abbie Pierce

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

Residence of Father when child was born Eastern Point Present address of Father Eastern Point (deceased)

Occupation of Father at Birth of child Fisherman Place of birth of Father Jordan Bay

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mabel Hollett Woods Address of Applicant RR2 Shelburne Date February 1, 1984

Relationship of Applicant to child n/a

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MabelHollett

Born at Lower Sandy Point in the County of Shelburne

That MabelHollett Whose Birth is sought to be registered was

born at Lower Sandy Point Shelburne County on November 26, 1921

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

I lived in the vicinity of Eastern Point on the Date of Birth of Mabel and I now her parents

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