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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000662

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edna Dorothy BlancheCallendar Sex

Date of Birth January 7, 1920 Place of Birth LiverpoolCounty of Queens

Name of Father Isaac Arthur Callendar MAIDEN NAME of Mother Alicia Gordon Moses

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

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

Occupation of Father at Birth of child Painter Place of birth of Father British Guina

Race African Name and present address of Physician in attendance at birth Dr. Ford, Liverpool

Signature of Applicant Mrs. D. Edna Husbands Address of Applicant 2313 Gottingen St., Halifax Date January 4, 1974

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edna Dorothy BlancheCallendar

Born at Liverpool in the County of Queens

That Edna Dorothy BlancheCallendar Whose Birth is sought to be registered was

born at Liverpool Queens County on January 7, 1920

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

Information from parents.

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