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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000449

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris KeelerEarle Sex Female

Date of Birth January 17, 1920 Place of Birth DartmouthCounty of Halifax

Name of Father William Thomas Earle MAIDEN NAME of Mother Maude Mary Keeler

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

Residence of Father when child was born Dartmouth Present address of Father deceased

Occupation of Father at Birth of child Tailor Place of birth of Father Newfoundland

Race White Name and present address of Physician in attendance at birth Dr. M.A.B. Smith, deceased

Signature of Applicant Pauline Greene Address of Applicant Dartmouth Date July 12, 1967

Relationship of Applicant to child sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris KeelerEarle

Born at Dartmouth in the County of Halifax

That Doris KeelerEarle Whose Birth is sought to be registered was

born at Dartmouth Halifax County on January 17, 1920

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

I was eight years of age at the time of her birth and remember the circumstances of that incident. School records attached hereto. Census records attached hereto.

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