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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000748

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen LouiseBradley Sex Female

Date of Birth April 23, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Ada Bradley

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race White Name and present address of Physician in attendance at birth deceased

Signature of Applicant Helen Louise Bradley Address of Applicant Glace Bay Date October 3, 1975

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen LouiseBradley

Born at Halifax in the County of Halifax

That Helen LouiseBradley Whose Birth is sought to be registered was

born at Halifax Halifax County on April 23, 1920

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

It is the date shown on the attached certificate of Baptism issued by St. Patrick's Church, Halifax. Particulars taken from church records of St. Patrick's Church, Halifax

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