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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000444

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 6, 1923 Place of Birth North PrestonCounty of Halifax

Name of Father Thomas Beals MAIDEN NAME of Mother Eva Beals

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

Residence of Father when child was born North Preston Halifax Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labouorer Place of birth of Father North Preston, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Daisy Simmonds Address of Applicant North Preston, Halifax Co., NS Date 8 September 1972

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at North Preston in the County of Halifax

That DaisyBeals Whose Birth is sought to be registered was

born at North Preston Halifax County on September 6, 1923

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

Census records School census

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