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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000160

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marian Elizabeth CampbellHolder Sex Female

Date of Birth October 6, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Elmer E.  Holder MAIDEN NAME of Mother Annie E.  Campbell

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 Sailmaker Place of birth of Father New Brunswick

Race English Name and present address of Physician in attendance at birth Dr. A. McD Morton (deceased)

Signature of Applicant Annie E. Holder Address of Applicant 122 Preston St. Halifax Date July 1951

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marian Elizabeth CampbellHolder

Born at Halifax in the County of Halifax

That Marian Elizabeth CampbellHolder Whose Birth is sought to be registered was

born at Halifax Halifax County on October 6, 1920

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

According to my baby record book and the baptismal records. I am her mother.

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