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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100073

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Johanna Jessie Cora SpenceFraser Penny Sex Female

Date of Birth June 8, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father James Spence MAIDEN NAME of Mother Cora Penny

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

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jessie Gray Address of Applicant 1512-2760 Carousel Cr. Gloucester, Ontario Date March 12, 1995

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Johanna Jessie Cora SpenceFraser Penny

Born at Halifax in the County of Halifax

That Johanna Jessie Cora SpenceFraser Penny Whose Birth is sought to be registered was

born at Halifax Halifax County on June 8, 1923

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

Baptism and Marriage Records

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