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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200173

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Kathleen IsabelHorne Sex Female

Date of Birth October 31, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father George Edward Horne MAIDEN NAME of Mother Anna Lauretta Young

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

Residence of Father when child was born Halifax Present address of Father 69 Victoria Rd.

Occupation of Father at Birth of child Motor mechanic Place of birth of Father Halifax

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

Signature of Applicant George Edward Horne Address of Applicant 69 Victoria Rd. Date 10 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Kathleen IsabelHorne

Born at Halifax in the County of Halifax

That Kathleen IsabelHorne Whose Birth is sought to be registered was

born at Halifax Halifax County on October 31, 1919

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

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