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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200200

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruby VioletDevinell Sex Female

Date of Birth November 7, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Richard Lawrence Devinell MAIDEN NAME of Mother Ruby Mary Clarke

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

Residence of Father when child was born Halifax Present address of Father 249 1/2 Brunswick St.

Occupation of Father at Birth of child Life insurance agent Place of birth of Father Boston, Massachusetts

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

Signature of Applicant Richard Lawrence Devinell Address of Applicant 249 1/2 Brunswick St. Date 14 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruby VioletDevinell

Born at Halifax in the County of Halifax

That Ruby VioletDevinell Whose Birth is sought to be registered was

born at Halifax Halifax County on November 7, 1919

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

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