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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900352

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 19, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Andrew Doane Merkel MAIDEN NAME of Mother Florence Elizabeth Sutherland

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

Occupation of Father at Birth of child Canadian Press Place of birth of Father Morley, New York

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

Signature of Applicant Andrew Merkel Address of Applicant Halifax Date January 18, 1945

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Mary ElizabethMerkel Whose Birth is sought to be registered was

born at Halifax Halifax County on October 19, 1920

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

I am the father of Mary Elizabeth Merkel and was at home at the time of her birth

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