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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000701

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 20, 1922 Place of Birth East Ship HarbourCounty of Halifax

Name of Father Charles DeWolfe MAIDEN NAME of Mother Annie Webb

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

Residence of Father when child was born East Ship Harbour, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father East Ship Harbour, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Patrick G. Cody Address of Applicant 9 Esson Road, Dartmouth Date 28 July 1978

Relationship of Applicant to child Husband

AFFIDAVIT

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

Born at East Ship Harbour in the County of Halifax

That Rita MarieDeWolfe Whose Birth is sought to be registered was

born at East Ship Harbour Halifax County on October 20, 1922

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

Baptismal record and marriage extract

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