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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000264

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of DorothySlade Sex Female

Date of Birth March 20, 1923 Place of Birth North SydneyCounty of Cape Breton

Name of Father Albert Slade MAIDEN NAME of Mother Victoria Jarvis

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born North Sydney Cape Breton Co. Ns Present address of Father North Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Painter Place of birth of Father North Sydney, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Victoria Slade Address of Applicant 194 Joseph Street, Victoria, British Columbia Date January 1961

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at North Sydney in the County of Cape Breton

That DorothySlade Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on March 20, 1923

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

I am her mother Church records

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