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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000459

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Pauline MarthaSanford Sex Female

Date of Birth March 23, 1922 Place of Birth RiversideCounty of Hants

Name of Father Raymond E. Sanford MAIDEN NAME of Mother Sarah M. Sanford

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

Residence of Father when child was born Riverside, Hants Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Lower Burlington, Hants

Race Name and present address of Physician in attendance at birth

Signature of Applicant Pauline M. Harvey Address of Applicant RR #2, Newport, Hants Date 24 April 1972

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Pauline MarthaSanford

Born at Riverside in the County of Hants

That Pauline MarthaSanford Whose Birth is sought to be registered was

born at Riverside Hants County on March 23, 1922

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

I have known Pauline Martha Sanford since she was born as she is my cousin and I know this application is correct. Mrs. Dorothy Rhodes.

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