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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100057

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen MargueriteSarty Sex Female

Date of Birth December 23, 1923 Place of Birth CamperdownCounty of Lunenburg

Name of Father Kenneth Leroy Sarty MAIDEN NAME of Mother Lottie Croft

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Camperdown

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen M. Huskins Address of Applicant RR 1 Port Mouton Date March 6, 1990

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen MargueriteSarty

Born at Camperdown in the County of Lunenburg

That Helen MargueriteSarty Whose Birth is sought to be registered was

born at Camperdown Lunenburg County on December 23, 1923

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

Certificate of Baptism

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