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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100074

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eva FloreGrainger Sex Female

Date of Birth August 11, 1920 Place of Birth DartmouthCounty of Halifax

Name of Father Thomas Henry Grainger MAIDEN NAME of Mother Katie Flore Purcell

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

Residence of Father when child was born Dartmouth, Halifax Co. Present address of Father deceased

Occupation of Father at Birth of child Sheetmetal Worker Place of birth of Father London, England

Race Name and present address of Physician in attendance at birth

Signature of Applicant E. Lunergan Address of Applicant 152 Monterey Drive, Nepean, Ontario Date 14 July 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eva FloreGrainger

Born at Dartmouth in the County of Halifax

That Eva FloreGrainger Whose Birth is sought to be registered was

born at Dartmouth Halifax County on August 11, 1920

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

Baptismal certificate. Marriage extract re: place of birth

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