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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000584

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Pearl HelenMarshall Sex Female

Date of Birth January 12, 1924 Place of Birth KemptownCounty of Colchester

Name of Father George Henry Marshall MAIDEN NAME of Mother Barbara Catherine MacKenzie

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

Residence of Father when child was born Kemptown, Colchester Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Lumberman Place of birth of Father Pictou Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Pearl H. McCoul Address of Applicant 81 Wynn Road, Truro, Colchester Co., NS Date 27 July 1978

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Pearl HelenMarshall

Born at Kemptown in the County of Colchester

That Pearl HelenMarshall Whose Birth is sought to be registered was

born at Kemptown Colchester County on January 12, 1924

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

1. Family bible - enclosed photostatic copy of page from Family Bible 2. Page from family birthday book - photostatic copy enclosed

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