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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000633

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of FannieIsaac Sex Female

Date of Birth April 14, 1922 Place of Birth SydneyCounty of Cape Breton

Name of Father Wilfred Isaac MAIDEN NAME of Mother Mary Fourey

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

Residence of Father when child was born Sydney, Cape Breton Present address of Father Deceased

Occupation of Father at Birth of child Blacksmith Place of birth of Father Lebanon, Syria

Race Name and present address of Physician in attendance at birth

Signature of Applicant Fannie Gagnon Address of Applicant 2821 Shaughnessy, Suite 105, Port Coquitlam, British Columbia Date 5 May 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of FannieIsaac

Born at Sydney in the County of Cape Breton

That FannieIsaac Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 14, 1922

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

Fannie Isaac is the twin sister of Isobel Isaac whose registration number is 22-02-990618 and it was issued 7 February 1977.

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