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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800142

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Iona JeanDixon Sex Female

Date of Birth December 18, 1923 Place of Birth AfricvilleCounty of Halifax

Name of Father Allen Dixon MAIDEN NAME of Mother Mary Roan

Residence of Father when child was born Africville, Halifax Co., NS Present address of Father Africville, Halifax Co., NS

Occupation of Father at Birth of child Porter Place of birth of Father Africville, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mary Dixon Address of Applicant Africville, Halifax Co., NS Date 4 July 1944

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Iona JeanDixon

Born at Africville in the County of Halifax

That Iona JeanDixon Whose Birth is sought to be registered was

born at Africville Halifax County on December 18, 1923

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

I, her mother, solemnly swear that above is true

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