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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000650

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 10, 1922 Place of Birth Stonehurst (Black Rocks)County of Lunenburg

Name of Father Hudson Selig MAIDEN NAME of Mother Flora Selena Tanner

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

Residence of Father when child was born Stonehurst, Lunenburg Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Stonehurst, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hazel May Knickle Address of Applicant RR #3, Northwest Cove, Lunenburg Date 25 August 1977

Relationship of Applicant to child Sister

AFFIDAVIT

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

Born at Stonehurst (Black Rocks) in the County of Lunenburg

That Jean IsobelSelig Whose Birth is sought to be registered was

born at Stonehurst (Black Rocks) Lunenburg County on June 10, 1922

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

She lived with my mother until her death is 1975

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