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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000263

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Audrey PearlWhite Sex Female

Date of Birth October 18, 1922 Place of Birth Eastern PassageCounty of Halifax

Name of Father William Edward White MAIDEN NAME of Mother Pearl Beatrice White

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

Residence of Father when child was born Eastern Passage, Halifax Present address of Father Eastern Passage, Halifax

Occupation of Father at Birth of child Labourer Place of birth of Father Eastern Passage, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Audrey Pearl Lepine Address of Applicant Eastern Passage, Halifax Date 14 November 1960

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Audrey PearlWhite

Born at Eastern Passage in the County of Halifax

That Audrey PearlWhite Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on October 18, 1922

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

Baptismal certificate taken from church records at place of birth.

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