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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000141

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Queenie MarieFerris Sex Female

Date of Birth June 29, 1924 Place of Birth SydneyCounty of Cape Breton

Name of Father Mark Ferris MAIDEN NAME of Mother Sadie Jamael

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

Residence of Father when child was born 115 Argyle Street, Halifax, NS Present address of Father 115 Argyle Street, Halifax, NS

Occupation of Father at Birth of child Barber Place of birth of Father Syria

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. W. Miller Address of Applicant 19 Helen Avenue, Brantford, Ontario Date 8 December 1953

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Queenie MarieFerris

Born at Sydney in the County of Cape Breton

That Queenie MarieFerris Whose Birth is sought to be registered was

born at Sydney Cape Breton County on June 29, 1924

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

I am the applicant (Baptism certificate)

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