Female Birth Registration: Year: 1919 number: 41200011
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
41200011
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Evelyn MayBlakley Sex Female
Date of Birth October 3, 1919 Place of Birth HalifaxCounty of Halifax
Name of Father Everett Thomas Blakley MAIDEN NAME of Mother Mabel Archibald
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Halifax Present address of Father 12 Jubilie Road
Occupation of Father at Birth of child Chauffeur Place of birth of Father Indian Harbour
Race Name and present address of Physician in attendance at birth Dr. C.S. Morton
Signature of Applicant Everett Thomas Blakley Address of Applicant 12 Jubilie Rd., Halifax Date 03 October 1919
Relationship of Applicant to child father
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Evelyn MayBlakley
Born at Halifax in the County of Halifax
That Evelyn MayBlakley Whose Birth is sought to be registered was
born at Halifax Halifax County on October 3, 1919
My knowledge of the fact and date of such Birth is based on the following Circumstances:
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=399228
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