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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000741

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frances VergeHagan Sex Female

Date of Birth June 17, 1924 Place of Birth MabouCounty of Inverness

Name of Father Francis Wilfred hagan MAIDEN NAME of Mother Sarah Pitcher Finn

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

Residence of Father when child was born Mabou, Inverness Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Dentist Place of birth of Father Kelly's Cross, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frances Verge Defoort Address of Applicant Box 76, Cypress River, Manitoba Date 17 June 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frances VergeHagan

Born at Mabou in the County of Inverness

That Frances VergeHagan Whose Birth is sought to be registered was

born at Mabou Inverness County on June 17, 1924

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

Personal knowledge and certificate of baptism and of birth, a notarized copy of which is enclosed herewith. The correct spelling of my last maiden name is Hagan and not Hagen as noted in the said certificate. Further I have a middle name Verge which is not noted in the said certificate.

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