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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800230

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie GertrudeHaddad Sex Female

Date of Birth July 9, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Samuel M. Haddad MAIDEN NAME of Mother Mary Gertrude Pettipas

Residence of Father when child was born 2 Gottingen Street, Halifax, NS Present address of Father 22 Albert Street, Moncton, New Brunswick

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant S. M. Haddad Address of Applicant 22 Albert Street, Moncton, New Brunswick Date 7 November 1944

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie GertrudeHaddad

Born at Halifax in the County of Halifax

That Marie GertrudeHaddad Whose Birth is sought to be registered was

born at Halifax Halifax County on July 9, 1921

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

That I am the father of the said Marie Gertrude Haddad and was personally present at her birth and remember the event clearly and know that it occurred on the date and at the place above mentioned.

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