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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91800083

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kathryn MabelTheakston Sex Female

Date of Birth February 11, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Arthur C. Theakston MAIDEN NAME of Mother Mabel Lawson

Residence of Father when child was born Halifax, NS Present address of Father Truro, Colchester Co., NS

Occupation of Father at Birth of child Contractor Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mabel L. Theakston Address of Applicant 77 Arthur Street, Truro, Colchester Co., NS Date 6 April 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kathryn MabelTheakston

Born at Halifax in the County of Halifax

That Kathryn MabelTheakston Whose Birth is sought to be registered was

born at Halifax Halifax County on February 11, 1923

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

I am the mother of Kathryn Mabel Theakston

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