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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000594

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary IreneForhan Sex Female

Date of Birth May 3, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Joseph Forhan MAIDEN NAME of Mother Florence Wallace

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

Residence of Father when child was born Halifax Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Irene Forhan Address of Applicant 5866 Cabot Street, Halifax Date 30 August 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary IreneForhan

Born at Halifax in the County of Halifax

That Mary IreneForhan Whose Birth is sought to be registered was

born at Halifax Halifax County on May 3, 1922

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

Baptismal Certificate

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