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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000709

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary ElizabethHallett Sex Female

Date of Birth May 8, 1924 Place of Birth Eastern PointCounty of Shelburne

Name of Father Harry Hallett MAIDEN NAME of Mother Mary Elizabeth Pierce

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

Residence of Father when child was born Eastern Point, Shelburne Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Eastern Point, Shelburne Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary E. Butler Address of Applicant 601 Grace Street, Woodstock, Ontario Date April 1981

Relationship of Applicant to child Applicant is child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary ElizabethHallett

Born at Eastern Point in the County of Shelburne

That Mary ElizabethHallett Whose Birth is sought to be registered was

born at Eastern Point Shelburne County on May 8, 1924

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

Information in Baptismal certificate enclosed. The name of the applicant is changed by marriage to Butler

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