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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900511

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marguerite LaviniaYeadon Sex Female

Date of Birth August 12, 1922 Place of Birth Lady Hammond Road, HalifaxCounty of Halifax

Name of Father Charles Tupper Yeadon MAIDEN NAME of Mother Lavinia Mae Siteman

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

Residence of Father when child was born Lady Hammond Road, Halifax, Ns Present address of Father Jollimore, Halifax, NS

Occupation of Father at Birth of child Prison Guard at City Prison, Halifax, NS Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles Tupper Yeadon Address of Applicant Jollimore, Halifax, NS Date 21 May 1945

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marguerite LaviniaYeadon

Born at Lady Hammond Road, Halifax in the County of Halifax

That Marguerite LaviniaYeadon Whose Birth is sought to be registered was

born at Lady Hammond Road, Halifax Halifax County on August 12, 1922

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

I am the father of marguerite Lavinia Yeadon and was present at her birth on August 12, 1922 attending physician was Dr. Thomas

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