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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100100

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean DoraTownsend Sex Female

Date of Birth September 29, 1921 Place of Birth New GlasgowCounty of Pictou

Name of Father Terrance Lockwood Townsend MAIDEN NAME of Mother Florence Mae Jennings

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jean MacKay Address of Applicant 14 Kaulback St. Truro Date February 18, 1985

Relationship of Applicant to child Applicant is making application for herself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean DoraTownsend

Born at New Glasgow in the County of Pictou

That Jean DoraTownsend Whose Birth is sought to be registered was

born at New Glasgow Pictou County on September 29, 1921

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

I was told by various of my Mothers relatives that I was born in New Glasgow Prior to the Marriage of my Mother and Father, after my Mother and Father were married we all lived together as a family and I was told of my birthdate by them and have always celebrated birthday on that date and calculated my age by reference to September 29, 1921.

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