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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000269

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mabel MarieCarver Sex Female

Date of Birth December 7, 1922 Place of Birth WaldenCounty of Lunenburg

Name of Father Ozem Carver MAIDEN NAME of Mother Rubie Carver

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

Residence of Father when child was born Waldon, Lunenburg Present address of Father New Germany, Lunenburg

Occupation of Father at Birth of child Farmer Place of birth of Father Waldon, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mabel Marie Carver Address of Applicant RR #4, Bridgetown, Annapolis Date 5 September 1961

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mabel MarieCarver

Born at Walden in the County of Lunenburg

That Mabel MarieCarver Whose Birth is sought to be registered was

born at Walden Lunenburg County on December 7, 1922

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

Certificate of baptism

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