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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000079

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Norma DoreenRogers Sex Female

Date of Birth February 2, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Rena Rogers

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 Laura Dean (Saft) Address of Applicant Halifax Infants Home, Halifax, NS Date 31 December 1941

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Norma DoreenRogers

Born at Halifax in the County of Halifax

That Norma DoreenRogers Whose Birth is sought to be registered was

born at Halifax Halifax County on February 2, 1923

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

Childs history sheet on file at Halifax Infants Home which according to a signed statement of the mother of Rena Rogers shows that Norma Doreen Rogers shows was born on February 2nd, 1923.

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