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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000437

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hannah MarieDevison Sex Female

Date of Birth November 28, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father John Robert Devison MAIDEN NAME of Mother Annie Martin

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

Residence of Father when child was born Glace Bay, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Glace Bay, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant H. Marie Stashuk Address of Applicant 111 Montcalm Drive, Kitchener, Ontario Date 9 August 1974

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hannah MarieDevison

Born at Glace Bay in the County of Cape Breton

That Hannah MarieDevison Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 28, 1924

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

It is the date shown on my certificate of birth and baptism, taken from the records at St. Ann's Church. already on file with the Deputy Register

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