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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800224

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen PhyllisGrant Sex Female

Date of Birth December 21, 1920 Place of Birth Point EdwardCounty of Cape Breton

Name of Father George Duncan  Grant MAIDEN NAME of Mother Nellie Mae Lewis

Residence of Father when child was born Point Edward Present address of Father Point Edward

Occupation of Father at Birth of child Carpenter Place of birth of Father Point Edward

Race Canadian Name and present address of Physician in attendance at birth the Late Dr. M. T. MacLean

Signature of Applicant Mrs. Nellie Mae Grant Address of Applicant Point Edward Date November 9, 1944

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen PhyllisGrant

Born at Point Edward in the County of Cape Breton

That Helen PhyllisGrant Whose Birth is sought to be registered was

born at Point Edward Cape Breton County on December 21, 1920

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

I am the mother of Helen Phyllis Grant

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