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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000677

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rita PatriciaWhare Sex Female

Date of Birth June 14, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Albert Edward Whare MAIDEN NAME of Mother Ellen Lavinia Williams

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

Residence of Father when child was born Eastern Passage, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Imperial Oil Employee Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita Patricia Fidgen Address of Applicant Eastern Passage, Halifax Date 13 March 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rita PatriciaWhare

Born at Halifax in the County of Halifax

That Rita PatriciaWhare Whose Birth is sought to be registered was

born at Halifax Halifax County on June 14, 1922

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

Baptismal certificate.

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