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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91804089

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ethel Muriel Woodworth Sex Female

Date of Birth January 10, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Amos Woodworth MAIDEN NAME of Mother Mary Florence Isabell Croucher

Residence of Father when child was born Halifax Present address of Father Halifax

Occupation of Father at Birth of child Meat Merchant Place of birth of Father Milford Station

Race White Name and present address of Physician in attendance at birth Dr. M.A. McAulay

Signature of Applicant Mrs. Amos Woodworth Address of Applicant Halifax Date May 6, 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ethel Muriel Woodworth

Born at Halifax in the County of Halifax

That Ethel Muriel Woodworth Whose Birth is sought to be registered was

born at Halifax Halifax County on January 10, 1920

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

I am the mother

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