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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900346

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean MargaretMapplebeck Sex Female

Date of Birth June 27, 1923 Place of Birth KentvilleCounty of Kings

Name of Father Emery Eric Mapplebeck MAIDEN NAME of Mother Essie Mae Schofield

Residence of Father when child was born Kentivlle, Kings Co., NS Present address of Father RR. #2, Grand View Avenue, Saint John, New Brunswick

Occupation of Father at Birth of child Truck Driver for Imperial Oil Co., Ltd Place of birth of Father Kingston, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Emery Eric Mapplebeck Address of Applicant RR #2, Grand View Avenue, Saint John, New Brunswick Date 22 January 1945

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean MargaretMapplebeck

Born at Kentville in the County of Kings

That Jean MargaretMapplebeck Whose Birth is sought to be registered was

born at Kentville Kings County on June 27, 1923

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

Father and was home on day of birth

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