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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000201

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen A.Walsh Sex Female

Date of Birth January 31, 1920 Place of Birth WolfvilleCounty of Kings

Name of Father Robert E. Walsh MAIDEN NAME of Mother Emily M. Walsh

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

Residence of Father when child was born Wolfville Present address of Father 342 Pearl St. Cambridge, Massachusetts, USA

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

Race British Name and present address of Physician in attendance at birth Dr. W.R. Elliott

Signature of Applicant Robert E. Walsh Address of Applicant Cambridge, Massachusetts, USA Date September 8, 1953

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen A.Walsh

Born at Wolfville in the County of Kings

That Helen A.Walsh Whose Birth is sought to be registered was

born at Wolfville Kings County on January 31, 1920

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

I was present at the birth of the above named as the attending physician. This is affirmed by my records as of January 31, 1920

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