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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000608

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vera NatalieBell Sex

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

Name of Father Daniel Bell MAIDEN NAME of Mother Natalie Koval

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

Residence of Father when child was born Halifax Present address of Father Halifax

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

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

Signature of Applicant Daniel Bell Address of Applicant Halifax Date October 22, 1971

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vera NatalieBell

Born at Halifax in the County of Halifax

That Vera NatalieBell 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 and I was present at her birth; which occurred at my home, then number one Lockman Avenue in the city of Halifax.

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