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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000194

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie DorothyMyatt Sex Female

Date of Birth May 6, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Joseph Myatt MAIDEN NAME of Mother Lillian Mae Carberry

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Dorothy Myatt Address of Applicant 35 Carleton Street, Halifax Date 2 September 1955

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie DorothyMyatt

Born at Halifax in the County of Halifax

That Marie DorothyMyatt Whose Birth is sought to be registered was

born at Halifax Halifax County on May 6, 1922

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

Lillian Myatt. (baptism record)

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