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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000780

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eva CatherineAsseff Sex Female

Date of Birth March 19, 1924 Place of Birth South HarbourCounty of Victoria

Name of Father Joseph Asseff MAIDEN NAME of Mother mary Ellen Fitzgerald

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

Residence of Father when child was born South Harbour, Victoria Co., NS Present address of Father South Harbour, Victoria Co., NS

Occupation of Father at Birth of child Merchant Place of birth of Father Syria

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eva C. Asseff Address of Applicant 8-6191 Allan Street, Halifax, NS Date 2 April 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eva CatherineAsseff

Born at South Harbour in the County of Victoria

That Eva CatherineAsseff Whose Birth is sought to be registered was

born at South Harbour Victoria County on March 19, 1924

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

Accurate examination of Church records containing the facts exactly Baptismal

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