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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000462

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Isabelle MayFrancis Sex Female

Date of Birth May 19, 1922 Place of Birth Delaps CoveCounty of Annapolis

Name of Father   MAIDEN NAME of Mother Myrtle Francis

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Myrtle Francis Address of Applicant Jordantown, Digby Date 13 August 1971

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Isabelle MayFrancis

Born at Delaps Cove in the County of Annapolis

That Isabelle MayFrancis Whose Birth is sought to be registered was

born at Delaps Cove Annapolis County on May 19, 1922

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

I am Isabelle May Francis' mother and I vividly recall the place and time of her birth.

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