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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000555

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean MariaLindsay Sex Female

Date of Birth November 19, 1922 Place of Birth CansoCounty of Guysborough

Name of Father William Lindsay MAIDEN NAME of Mother Anne Dort

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

Residence of Father when child was born Canso, Guysborough Present address of Father Deceased

Occupation of Father at Birth of child Armed Forces Place of birth of Father Scotland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jean M. Robinson Address of Applicant 17 Parkstone Road, Dartmouth Date 3 October 1975

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean MariaLindsay

Born at Canso in the County of Guysborough

That Jean MariaLindsay Whose Birth is sought to be registered was

born at Canso Guysborough County on November 19, 1922

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

Baptismal Certificate

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