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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200157

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edna MargueriteCarmichael Sex Female

Date of Birth October 28, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Howard Michael MAIDEN NAME of Mother Selena Burbridge

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

Residence of Father when child was born Halifax Present address of Father 76 Lawrence St.

Occupation of Father at Birth of child Carpenter Place of birth of Father Halifax

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

Signature of Applicant John Harold Carmichael Address of Applicant 76 Lawrence St. Date 13 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edna MargueriteCarmichael

Born at Halifax in the County of Halifax

That Edna MargueriteCarmichael Whose Birth is sought to be registered was

born at Halifax Halifax County on October 28, 1919

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

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