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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200135

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie GeraldineMullins Sex Female

Date of Birth October 25, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Walter Doran Mullins MAIDEN NAME of Mother Cora Addington Crawford

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

Residence of Father when child was born Halifax Present address of Father 49 Hollis St.

Occupation of Father at Birth of child Plumber Place of birth of Father Liscomb, NS

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

Signature of Applicant W.D. Mullins Address of Applicant 49 Hollis St. Date 08 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie GeraldineMullins

Born at Halifax in the County of Halifax

That Annie GeraldineMullins Whose Birth is sought to be registered was

born at Halifax Halifax County on October 25, 1919

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

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