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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000311

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of HelenWilliams Sex Female

Date of Birth June 26, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Robert James Williams MAIDEN NAME of Mother Sarah Reid

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

Residence of Father when child was born 18 Rottenburg Street, Halifax Present address of Father deceased

Occupation of Father at Birth of child Fireman Place of birth of Father New Harbour, Trinity Bay, Newfoundland & Labrador

Race Canadian Name and present address of Physician in attendance at birth Dr. Buckley

Signature of Applicant Mrs. Helen Buldock Address of Applicant 36 Lahey Road, Albro Lake, Dartmouth Date 15 April 1959

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of HelenWilliams

Born at Halifax in the County of Halifax

That HelenWilliams Whose Birth is sought to be registered was

born at Halifax Halifax County on June 26, 1920

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

Information by parents. School record. Dedication certificate of Salvation Army.

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