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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100008

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen Blanche Vivian KathleenJordan Sex Female

Date of Birth February 17, 1920 Place of Birth MelansonCounty of Kings

Name of Father John Jordan MAIDEN NAME of Mother Annie Skaling

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

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

Occupation of Father at Birth of child Saw mill operator Place of birth of Father Melanson

Race Name and present address of Physician in attendance at birth

Signature of Applicant Blanche V. Atwell Address of Applicant Wolfville Date July 18, 1979

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen Blanche Vivian KathleenJordan

Born at Melanson in the County of Kings

That Helen Blanche Vivian KathleenJordan Whose Birth is sought to be registered was

born at Melanson Kings County on February 17, 1920

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

School Record Census Documents

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