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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000378

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marion MayErnst Sex Female

Date of Birth May 20, 1923 Place of Birth DartmouthCounty of Halifax

Name of Father William Andrew MAIDEN NAME of Mother Gertrude Carter

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

Residence of Father when child was born Dartmouth Ns Present address of Father Deceased

Occupation of Father at Birth of child Bank Teller Place of birth of Father Bridgewater

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marion M. Kirby Address of Applicant 940 South Bland Street, Halifax, NS Date 11 February 1970

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marion MayErnst

Born at Dartmouth in the County of Halifax

That Marion MayErnst Whose Birth is sought to be registered was

born at Dartmouth Halifax County on May 20, 1923

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

Baptism Certificate Marriage Extract

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