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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000689

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret SadieFrancis Sex Female

Date of Birth June 30, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father William Austen Francis MAIDEN NAME of Mother Mary Belle McInnis

Residence of Father when child was born 7 Redford Avenue, Halifax, NS Present address of Father 152 Brunswick Street, Halifax, NS

Occupation of Father at Birth of child Teamster Place of birth of Father New Germany, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Belle Francis Address of Applicant 152 Brunswick Street, Halifax, NS Date 27 February 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret SadieFrancis

Born at Halifax in the County of Halifax

That Margaret SadieFrancis Whose Birth is sought to be registered was

born at Halifax Halifax County on June 30, 1922

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

I am her mother

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