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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000986

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Angeline DorothyRehberg Sex Female

Date of Birth September 19, 1924 Place of Birth Eastern PassageCounty of Halifax

Name of Father Joseph Rehberg MAIDEN NAME of Mother Alvina Peters

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father L'Ardoise

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Dorothy Gibeau Address of Applicant Dartmouth Date September 8, 1999

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Angeline DorothyRehberg

Born at Eastern Passage in the County of Halifax

That Angeline DorothyRehberg Whose Birth is sought to be registered was

born at Eastern Passage Halifax County on September 19, 1924

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

Baptism and marriage extract

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