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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000019

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mildred CatherineJames Sex Female

Date of Birth August 14, 1920 Place of Birth DartmouthCounty of Halifax

Name of Father George H. James MAIDEN NAME of Mother Gladys Bauld

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

Residence of Father when child was born Creighton Ave. Dartmouth Present address of Father Newport Station

Occupation of Father at Birth of child Labourer Place of birth of Father Preston

Race Negro Name and present address of Physician in attendance at birth Dr. Smith, Dartmouth

Signature of Applicant George H. James Address of Applicant Newport Station Date July 3, 1946

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mildred CatherineJames

Born at Dartmouth in the County of Halifax

That Mildred CatherineJames Whose Birth is sought to be registered was

born at Dartmouth Halifax County on August 14, 1920

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

I am the father of the said child and therefore know the date of birth

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