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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100105

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anita VeraLewis Sex Female

Date of Birth July 4, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Arthur Harold Lewis MAIDEN NAME of Mother Vera Gallagher

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 Teamster Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Anita Marten Address of Applicant 4 Frederick Avenue, Halifax Date 2 February 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anita VeraLewis

Born at Halifax in the County of Halifax

That Anita VeraLewis Whose Birth is sought to be registered was

born at Halifax Halifax County on July 4, 1920

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

Baptismal & Marriage extract

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