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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000814

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of BeatriceElliott Sex Female

Date of Birth June 25, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father William Elliott MAIDEN NAME of Mother  Day (Marshall)

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

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

Occupation of Father at Birth of child Halifax Shipyard Place of birth of Father Newfoundland & Labrador

Race Name and present address of Physician in attendance at birth

Signature of Applicant Beatrice Nice Address of Applicant RR #1, Lepreau, New Brunswick Date 18 November 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of BeatriceElliott

Born at Halifax in the County of Halifax

That BeatriceElliott Whose Birth is sought to be registered was

born at Halifax Halifax County on June 25, 1920

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

enclose record

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