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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000565

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 17, 1924 Place of Birth ArichatCounty of Richmond

Name of Father Alfred Woolf MAIDEN NAME of Mother Cecile Landry

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

Residence of Father when child was born Arichat, Richmond Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Arichat, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. M. M. Boudreau Address of Applicant 1078 Tower Road, Halifax, NS Date 27 February 1978

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Arichat in the County of Richmond

That Marie MildrideWoolf Whose Birth is sought to be registered was

born at Arichat Richmond County on March 17, 1924

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

Baptismal

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