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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000928

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris LouisePierce Sex Female

Date of Birth July 18, 1924 Place of Birth Lower Jordan BayCounty of Shelburne

Name of Father William Pierce MAIDEN NAME of Mother Beatrice N. Bush

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

Residence of Father when child was born Lower Jordan Bay Present address of Father

Occupation of Father at Birth of child not sure (fisherman) Place of birth of Father Sandy Point

Race Name and present address of Physician in attendance at birth

Signature of Applicant Doris L. Powell Address of Applicant Port Severn, Ontario Date July 19, 1988

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris LouisePierce

Born at Lower Jordan Bay in the County of Shelburne

That Doris LouisePierce Whose Birth is sought to be registered was

born at Lower Jordan Bay Shelburne County on July 18, 1924

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

Marriage Record #123810/44

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