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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000070

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 10, 1922 Place of Birth FairviewCounty of Halifax

Name of Father Clyde Russell Isner MAIDEN NAME of Mother Lillian Frances Bentley

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

Residence of Father when child was born Fairview, Halifax Present address of Father Fairview, Halifax

Occupation of Father at Birth of child Carman, Canadian National Railway Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lillian Frances Isner Address of Applicant Fairview, Halifax Date 11 June 1948

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Fairview in the County of Halifax

That Dorothy MayIsner Whose Birth is sought to be registered was

born at Fairview Halifax County on November 10, 1922

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

I am her mother and the late Dr. M. A. MacAulay was my physician

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