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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000688

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Christy ElizaJohnson Sex Female

Date of Birth September 23, 1923 Place of Birth Port HawkesburyCounty of Inverness

Name of Father Robert Johnson MAIDEN NAME of Mother Ellen MacRae

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

Residence of Father when child was born Port Hawkesbury Inverness Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Port Hawkesbury, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rev. Robert Neville Address of Applicant Port Hawkesbury, Inverness Co., NS Date 9 January 1979

Relationship of Applicant to child Parish Priest

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Christy ElizaJohnson

Born at Port Hawkesbury in the County of Inverness

That Christy ElizaJohnson Whose Birth is sought to be registered was

born at Port Hawkesbury Inverness County on September 23, 1923

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

Church records (as indicated by certificate)

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