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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000569

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rhodina ValentineMacNeil Sex Female

Date of Birth February 6, 1923 Place of Birth Upper WashabuckCounty of Victoria

Name of Father John Murdoch MacNeil MAIDEN NAME of Mother Christina Devoe

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

Residence of Father when child was born Upper Washabuck Victoria Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Grass Cove, Victoria Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rhodina Valentine MacNeil Address of Applicant 601 Mary Street East, Whitby, Ontario, L1N 2R2 Date 15 June 1976

Relationship of Applicant to child Same Person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rhodina ValentineMacNeil

Born at Upper Washabuck in the County of Victoria

That Rhodina ValentineMacNeil Whose Birth is sought to be registered was

born at Upper Washabuck Victoria County on February 6, 1923

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

The applicant is my wife of 32 years. I have reviewed the certificate of baptism and believe it to be true and accurate. I believe the birth date and place of birth as stated to me by my wife to be true and accurate.

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