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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000185

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie TeresaPetrie Sex Female

Date of Birth November 14, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Adelard Petrie MAIDEN NAME of Mother Margaret Roy

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

Residence of Father when child was born Bay Side Post Office, Armdale, Halifax, NS Present address of Father Bay Side Post Office, Armdale, Halifax, NS

Occupation of Father at Birth of child Halifax Shipyard Place of birth of Father Barrisford, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Teresa Shimkus Address of Applicant 4519 Des Erables, Apt. 9, Montreal, Quebec Date 22 February 1957

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie TeresaPetrie

Born at Halifax in the County of Halifax

That Marie TeresaPetrie Whose Birth is sought to be registered was

born at Halifax Halifax County on November 14, 1924

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

I was a neighbor and a friend of the Petrie family and I was there when Marie Teresa Petrie was born. (Joseph Shimkus) Baptism certificate Marriage record

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