Female Birth Registration: Year: 1922 number: 99000326
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000326
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Madeline ElizabethBoehner Sex Female
Date of Birth March 1, 1922 Place of Birth Martins PointCounty of Lunenburg
Name of Father Harry S. Boehner MAIDEN NAME of Mother Carrie Idella Rafuse
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Martins Point, Lunenburg Present address of Father Martins Point, Lunenburg
Occupation of Father at Birth of child Carpenter Place of birth of Father Martins Point, Lunenburg
Race Name and present address of Physician in attendance at birth
Signature of Applicant Madeline Elizabeth Boehner Address of Applicant 3291 Dutch Village Road, Halifax Date 15 September 1965
Relationship of Applicant to child self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Madeline ElizabethBoehner
Born at Martins Point in the County of Lunenburg
That Madeline ElizabethBoehner Whose Birth is sought to be registered was
born at Martins Point Lunenburg County on March 1, 1922
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Baptism certificate
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=431578
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