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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200072

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth LillianBrigley Sex Female

Date of Birth October 14, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Edmund Bugley MAIDEN NAME of Mother Margaret Leahy

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

Residence of Father when child was born Halifax Present address of Father 329 Morris St.

Occupation of Father at Birth of child Chauffeur Place of birth of Father St. Margarets Bay

Race Name and present address of Physician in attendance at birth Dr. L.M. Silver

Signature of Applicant Charles Edmund Bugley Address of Applicant 329 Morris St Date 22 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth LillianBrigley

Born at Halifax in the County of Halifax

That Elizabeth LillianBrigley Whose Birth is sought to be registered was

born at Halifax Halifax County on October 14, 1919

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

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