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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000222

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of MollyRoberts Sex

Date of Birth March 17, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Gladys Roberts

Were the Parents married at the time of the Birth? No

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 Edith M. Zikkala Address of Applicant Ottawa, Ontario Date 18 July 1957

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of MollyRoberts

Born at Halifax in the County of Halifax

That MollyRoberts Whose Birth is sought to be registered was

born at Halifax Halifax County on March 17, 1923

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

1. I am her sister & information from our mother by declaration. 2. School records refer to a ______? fathers surname Legge 3. Protestant Orphanage records 4. Childrens Aid Society records

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