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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000738

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ivy BeatriceRhyno Sex Female

Date of Birth November 1, 1923 Place of Birth Clyde RiverCounty of Shelburne

Name of Father Guy Robinson Rhyno MAIDEN NAME of Mother Evelyn Glenora MacKay

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

Residence of Father when child was born Clyde River Shelburne Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Milton, Queens Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ivy Beatrice Rhyno Butler Address of Applicant Nelson, Miramichi, New Brunswick Date 8 June 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ivy BeatriceRhyno

Born at Clyde River in the County of Shelburne

That Ivy BeatriceRhyno Whose Birth is sought to be registered was

born at Clyde River Shelburne County on November 1, 1923

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

Family bible record

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