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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200148

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mavis BerniceTaplin Sex Female

Date of Birth October 26, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Ernest Benjamin Taplin MAIDEN NAME of Mother Evelyn Bugdon

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

Residence of Father when child was born Halifax Present address of Father 295 Brunswick St.

Occupation of Father at Birth of child Cook Place of birth of Father Glammorganshire, Wales

Race Name and present address of Physician in attendance at birth P.A. Macdonald

Signature of Applicant Ernest Benjamin Talpin Address of Applicant 295 Brunswick St. Date 08 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mavis BerniceTaplin

Born at Halifax in the County of Halifax

That Mavis BerniceTaplin Whose Birth is sought to be registered was

born at Halifax Halifax County on October 26, 1919

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

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