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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000255

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Isabell LouiseHooper Sex Female

Date of Birth December 5, 1935 Place of Birth Pictou IslandCounty of Pictou

Name of Father Lester Hooper MAIDEN NAME of Mother Annabelle MacLean

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

Residence of Father when child was born Pictou Island, Pictou Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Crane Operator Place of birth of Father Peter's Road, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Theodore Lester Hooper Address of Applicant 9 Elm Street West, Pictou, NS Date 15 October 1962

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Isabell LouiseHooper

Born at Pictou Island in the County of Pictou

That Isabell LouiseHooper Whose Birth is sought to be registered was

born at Pictou Island Pictou County on December 5, 1935

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

1. Record in family bible 2. Record in school register

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