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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100232

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy RebeccaThomas Sex Female

Date of Birth June 24, 1921 Place of Birth WoodlawnCounty of Halifax

Name of Father Howard Douglas Thomas MAIDEN NAME of Mother Eliza Jane Cross

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dorothy Rebecca Zinck Address of Applicant 25 Clifford Dr. Dartmouth Date May 20, 1999

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy RebeccaThomas

Born at Woodlawn in the County of Halifax

That Dorothy RebeccaThomas Whose Birth is sought to be registered was

born at Woodlawn Halifax County on June 24, 1921

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

Baptismal and Marriage Extract

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