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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200107

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary Ellen ViolaHanlon Sex Female

Date of Birth October 20, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Kenneth Ellsworth Hanlon MAIDEN NAME of Mother Laura Katherine Kelly

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

Residence of Father when child was born Halifax Present address of Father 85 Hollis St

Occupation of Father at Birth of child Mechanic Place of birth of Father Canso

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

Signature of Applicant Kenneth Ellsworth Hanley Address of Applicant 85 Hollis St Date 24 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Ellen ViolaHanlon

Born at Halifax in the County of Halifax

That Mary Ellen ViolaHanlon Whose Birth is sought to be registered was

born at Halifax Halifax County on October 20, 1919

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

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