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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800669

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elsie IsobelWhite Sex Female

Date of Birth June 2, 1921 Place of Birth Eastern PassageCounty of Halifax

Name of Father Alfred William White MAIDEN NAME of Mother Mary Alice Donaldson

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

Occupation of Father at Birth of child Labourer Place of birth of Father Eastern Passage, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary White Address of Applicant Eastern Passage, Halifax Co., NS Date 2 September 1944

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elsie IsobelWhite

Born at Eastern Passage in the County of Halifax

That Elsie IsobelWhite Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on June 2, 1921

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

Mother of child

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