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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000825

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Verna Geraldine MayMisner Sex Female

Date of Birth January 28, 1922 Place of Birth WoodsideCounty of Halifax

Name of Father Harvey B. Misner MAIDEN NAME of Mother Mable May Anderson

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

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

Occupation of Father at Birth of child Mechanic Place of birth of Father Black Point, Halifax,

Race Name and present address of Physician in attendance at birth

Signature of Applicant Verna G. Smith Address of Applicant 10 Spring Avenue, Dartmouth Date 17 September 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Verna Geraldine MayMisner

Born at Woodside in the County of Halifax

That Verna Geraldine MayMisner Whose Birth is sought to be registered was

born at Woodside Halifax County on January 28, 1922

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

Baptismal

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