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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100061

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Fay Laura JaneTruckair Sex Female

Date of Birth May 3, 1921 Place of Birth WoodsideCounty of Halifax

Name of Father Lawrence Truckair MAIDEN NAME of Mother Sarah Elizabeth Mitchell

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

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

Occupation of Father at Birth of child Employed at Imperial Oil Place of birth of Father Lingan

Race Name and present address of Physician in attendance at birth

Signature of Applicant Fay L.K. Truckair Address of Applicant 333 Main St. Liverpool Date July 16, 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Fay Laura JaneTruckair

Born at Woodside in the County of Halifax

That Fay Laura JaneTruckair Whose Birth is sought to be registered was

born at Woodside Halifax County on May 3, 1921

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

Liverpool School Records located at the Public Archives of Nova Scotia Statistics Canada Census Report Statistics Canada - 1940 National Registration of Canada Recorsd

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