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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000206

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 30, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father John Fernandez MAIDEN NAME of Mother Bessie Rudolph

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

Residence of Father when child was born 6 Creighton Street, Halifax, NS Present address of Father Deceased

Occupation of Father at Birth of child Painter Place of birth of Father Portugal

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Louise Fernandez Address of Applicant c/o Best Hornell & Copeland, Barristers, 67 Yonge Street, Toronto, Ontario Date 12 August 1958

Relationship of Applicant to child Same person

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Marie LouiseFernandez Whose Birth is sought to be registered was

born at Halifax Halifax County on September 30, 1924

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

I have always understood that Halifax was my place of birth and I have never learned of any contrary information. The attending physician, I verily believe, was Dr. Hawkins (Sr.) now deceased. The facts stated in the application above are true.

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