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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900822

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary Iris JuneMartin Sex Female

Date of Birth March 28, 1923 Place of Birth DartmouthCounty of Halifax

Name of Father   MAIDEN NAME of Mother Marion Martin

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. John Little Address of Applicant 107 Windmill Road, Dartmouth, NS Date 19 October 1945

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Iris JuneMartin

Born at Dartmouth in the County of Halifax

That Mary Iris JuneMartin Whose Birth is sought to be registered was

born at Dartmouth Halifax County on March 28, 1923

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

Recorded in St. Peters Church records, copy enclosed.

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