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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000713

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sadie ChristeenFaulkner Sex Female

Date of Birth August 19, 1922 Place of Birth West JeddoreCounty of Halifax

Name of Father Frederick Harland Faulkner MAIDEN NAME of Mother Sarah Ann MacIntyre

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

Residence of Father when child was born West Jeddore, Halifax Present address of Father 9 Bolton Terrace, Dartmouth

Occupation of Father at Birth of child Mariner Place of birth of Father West Jeddore, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant F. H. Faulkner Address of Applicant 9 Bolton Terrace, Dartmouth Date 11 April 1950

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sadie ChristeenFaulkner

Born at West Jeddore in the County of Halifax

That Sadie ChristeenFaulkner Whose Birth is sought to be registered was

born at West Jeddore Halifax County on August 19, 1922

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

I am the father of the above named and know the facts to be true because I remember the day she was born.

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