Female Birth Registration: Year: 1920 number: 99000138
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000138
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Lulu GiffinClarke Sex Female
Date of Birth May 17, 1920 Place of Birth HalifaxCounty of Halifax
Name of Father Norman Ashton Clarke MAIDEN NAME of Mother Hattie Avilla Giffin
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Halifax Present address of Father deceased
Occupation of Father at Birth of child Engineer Place of birth of Father Goldboro
Race English Name and present address of Physician in attendance at birth Dr. Charles S. Morton, 170 Spring Garden Rd. Halifax
Signature of Applicant Samuel Anderson Address of Applicant 217 Marlboro St. Brantford, Ontario Date October 2, 1950
Relationship of Applicant to child Husband
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Lulu GiffinClarke
Born at Halifax in the County of Halifax
That Lulu GiffinClarke Whose Birth is sought to be registered was
born at Halifax Halifax County on May 17, 1920
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Certificate from records of Halifax Public School attached. Age as shown on Insurance Policy attached.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=397827
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