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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000932

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elsie MaryPearce Sex Female

Date of Birth July 10, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father Ralph Pearce MAIDEN NAME of Mother Annie Crocker

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 Dockyard Place of birth of Father Cornerbrook, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant M. Bevis Address of Applicant 289 Brookside Road, Halifax Date 13 April 1983

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elsie MaryPearce

Born at Halifax in the County of Halifax

That Elsie MaryPearce Whose Birth is sought to be registered was

born at Halifax Halifax County on July 10, 1922

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

Statistics Canada National Registration Extract of Marriage

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