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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000328

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Genevieve BeulahForsyth Sex Female

Date of Birth August 9, 1924 Place of Birth CentrevilleCounty of Kings

Name of Father Austin Forsyth MAIDEN NAME of Mother Rosa Comisky

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

Residence of Father when child was born Centreville, Kings Co., NS Present address of Father Kentville, Kings Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Kentville, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Austin P. Forsyth Address of Applicant 56 Grant Street, Kentville, Kings Co., NS Date 7 October 1969

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Genevieve BeulahForsyth

Born at Centreville in the County of Kings

That Genevieve BeulahForsyth Whose Birth is sought to be registered was

born at Centreville Kings County on August 9, 1924

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

Baptism certificate Surname of child corrected by fathers birth record no. 95-02-991754

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