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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200019

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie AgnesCallahan Sex Female

Date of Birth October 5, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Harry Larimer Callahan MAIDEN NAME of Mother Sadie Edna Kelly

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

Residence of Father when child was born Halifax Present address of Father 13 Henry St.

Occupation of Father at Birth of child Engineer Place of birth of Father Manchester, Guysborough Co.

Race Name and present address of Physician in attendance at birth C.S. Murton

Signature of Applicant Harry Larimer Callahan Address of Applicant 13 Henry St. Date 10 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie AgnesCallahan

Born at Halifax in the County of Halifax

That Marie AgnesCallahan Whose Birth is sought to be registered was

born at Halifax Halifax County on October 5, 1919

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

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