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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000311

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret MaryRomo Sex Female

Date of Birth September 28, 1924 Place of Birth DartmouthCounty of Halifax

Name of Father William Romo MAIDEN NAME of Mother Rose Warner

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

Residence of Father when child was born 4 Summit Street, Dartmouth, NS Present address of Father Deceased

Occupation of Father at Birth of child painter Place of birth of Father Dartmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Mary Romo Address of Applicant 572 Portland Street, Dartmouth, NS Date 10 June 1968

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret MaryRomo

Born at Dartmouth in the County of Halifax

That Margaret MaryRomo Whose Birth is sought to be registered was

born at Dartmouth Halifax County on September 28, 1924

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

Baptismal certificate Marriage certificate

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