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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200077

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy RoseHenderson Sex Female

Date of Birth October 15, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Andrew Henderson MAIDEN NAME of Mother Elizabeth Craig

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

Residence of Father when child was born Halifax Present address of Father 15a Maine Ave., Halifax

Occupation of Father at Birth of child Plumber Place of birth of Father Edinburgh, Scotland

Race Name and present address of Physician in attendance at birth Dr. Findlay

Signature of Applicant Andrew Henderson Address of Applicant 15a Maine Ave. Date 07 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy RoseHenderson

Born at Halifax in the County of Halifax

That Dorothy RoseHenderson Whose Birth is sought to be registered was

born at Halifax Halifax County on October 15, 1919

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

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