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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000784

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marjorie Pearl MinervaKane Sex Female

Date of Birth April 27, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Timothy Benjamin Kane MAIDEN NAME of Mother Violet Clattenburg

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

Residence of Father when child was born Halifax Ns Present address of Father Deceasd

Occupation of Father at Birth of child Deceased Place of birth of Father Arichat, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kenneth E. Kane Address of Applicant Hubbards, NS Date 21 July 1980

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marjorie Pearl MinervaKane

Born at Halifax in the County of Halifax

That Marjorie Pearl MinervaKane Whose Birth is sought to be registered was

born at Halifax Halifax County on April 27, 1923

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

Certificate of Baptism

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