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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100201

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 22, 1921 Place of Birth Bear RiverCounty of Digby

Name of Father Lloyd Irving MAIDEN NAME of Mother Sarah Harris

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Josephine Stevens Address of Applicant 2737 Kipling Ave. #202 Etobicoke, Ontario Date October 29, 1987

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Bear River in the County of Digby

That JosephineIrving Whose Birth is sought to be registered was

born at Bear River Digby County on July 22, 1921

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

1) Information given to me by my parents 2) Marriage registration February 1954 3) School records from New Brunswick, Board of School Teachers 4) Census records from Statistics Canada

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