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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000374

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stella GraceBrigley Sex

Date of Birth June 1, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Lawson L. Brigley MAIDEN NAME of Mother Daisey Jollimore

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

Residence of Father when child was born Deceased Present address of Father N/A

Occupation of Father at Birth of child N/A Place of birth of Father Hubbards, Hfx Co.

Race White Name and present address of Physician in attendance at birth don't know

Signature of Applicant Stella Grace Gallant Address of Applicant 19 Church St., Dartmouth Date Nov. 27, 1962

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stella GraceBrigley

Born at Halifax in the County of Halifax

That Stella GraceBrigley Whose Birth is sought to be registered was

born at Halifax Halifax County on June 1, 1920

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

I have celebrated my birthday and my mother told me.

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