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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000439

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Violet PearlHoulder Sex Male

Date of Birth September 22, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Albert Houlder MAIDEN NAME of Mother Alice Drinkwater

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

Residence of Father when child was born Glace Bay Cape Breton Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child unknown Place of birth of Father unknown

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elizabeth Mahoney Address of Applicant Loch Katrine, Antigonish Co., NS Date 28 July 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Violet PearlHoulder

Born at Glace Bay in the County of Cape Breton

That Violet PearlHoulder Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on September 22, 1923

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

As told by foster parents and from Dept. of Welfare records. (see Adoption file 72-02-001440)

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