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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600795

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marion LouiseMatheson Sex Female

Date of Birth November 4, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father John Matheson MAIDEN NAME of Mother Cora Louise Hinch

Residence of Father when child was born 18 Willow Street, Halifax, NS Present address of Father 89 Alexander Street, Dorchester, Massachusetts, USA

Occupation of Father at Birth of child Wood Pattern Maker Place of birth of Father Baddeck, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Matheson Address of Applicant 89 Alexander Street, Dorchester, Massachusetts, USA Date 13 December 1935

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marion LouiseMatheson

Born at Halifax in the County of Halifax

That Marion LouiseMatheson Whose Birth is sought to be registered was

born at Halifax Halifax County on November 4, 1922

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

Born to me and Cora (Hinch) Matheson, my wife on November 4th, 1922. Dr. A. F. Buckley Physician, baptized by Rev. Mr. Bartlett, Charles Street Methodist Church.

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