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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90501783

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 2, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Harry J. Kline MAIDEN NAME of Mother Ethelreda MacNeil

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

Residence of Father when child was born 179 Jubilee Road, Halifax Present address of Father Halifax

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

Race White Name and present address of Physician in attendance at birth Dr. G. H. Murphy, Halifax

Signature of Applicant Ethelreda Kline Address of Applicant 19 Watt Street, Halifax Date 21 March 1941

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Mary RuthKline Whose Birth is sought to be registered was

born at Halifax Halifax County on February 2, 1920

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

I am the mother of Mary Ruth Kline

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