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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000794

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Estella LaviniaGreene Sex Female

Date of Birth June 27, 1923 Place of Birth Imperoyal, DartmouthCounty of Halifax

Name of Father John William Greene MAIDEN NAME of Mother Mandy Morine

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Imperoyal Dartmouth Ns Present address of Father Deceased

Occupation of Father at Birth of child Woodsman Place of birth of Father Lakeville, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Stella L. Brock Greene Address of Applicant White Rock, Kings Co., NS Date 12 November 1980

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Estella LaviniaGreene

Born at Imperoyal, Dartmouth in the County of Halifax

That Estella LaviniaGreene Whose Birth is sought to be registered was

born at Imperoyal, Dartmouth Halifax County on June 27, 1923

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

My mother who is now deceased has told me that this was my birth date (June 27, 1923) and has recounted the circumstances of my birth and that I have always celebrated my birthdate as June 27, 1923 and believe I am 57 years of age and will be 58 in June of 1981.

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