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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000741

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie CatherineMcIsaac Sex Female

Date of Birth April 12, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Leo Joseph McIsaac MAIDEN NAME of Mother Amy B. Barkhouse

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

Residence of Father when child was born Halifax Present address of Father Deceased

Occupation of Father at Birth of child Pipe Fitter Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Amy B. McIsaac Address of Applicant RR #1, Boutiliers Point, Halifax Date 22 February 1979

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie CatherineMcIsaac

Born at Halifax in the County of Halifax

That Annie CatherineMcIsaac Whose Birth is sought to be registered was

born at Halifax Halifax County on April 12, 1922

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

Certificate of baptism, Saint Patricks Church, Halifax, dated November 9th, 1945

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