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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000362

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cecilia MonaFlemming Sex

Date of Birth December 27, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father William John Flemming MAIDEN NAME of Mother Mary M. Graves

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

Residence of Father when child was born 1 Hilford Street, Halifax Present address of Father 81 Poplar Street, Halifax

Occupation of Father at Birth of child Employee of Canadian National Railway Place of birth of Father Halifax

Race Caucasian Name and present address of Physician in attendance at birth Dr. R. C. Hawkins, Deceased

Signature of Applicant William John Flemming Address of Applicant 81 Poplar Street, Halifax Date July 7, 1962

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cecilia MonaFlemming

Born at Halifax in the County of Halifax

That Cecilia MonaFlemming Whose Birth is sought to be registered was

born at Halifax Halifax County on December 27, 1920

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

I am her father.

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