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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000075

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lilian SheldonLane Sex Female

Date of Birth April 22, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother May Virginia Lane

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race White Name and present address of Physician in attendance at birth Dr. Harrison (deceased)

Signature of Applicant May Virginia MacDonald Address of Applicant Green Head Road, Beechville Date May 1, 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lilian SheldonLane

Born at Halifax in the County of Halifax

That Lilian SheldonLane Whose Birth is sought to be registered was

born at Halifax Halifax County on April 22, 1920

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

I am the Mother of Lilian Sheldon Lane

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