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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200209

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Myrtle MayHolland Sex Female

Date of Birth November 8, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Horatio Patrick Holland MAIDEN NAME of Mother Mary Jane Wood

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

Residence of Father when child was born Halifax Present address of Father Duncan's Cove

Occupation of Father at Birth of child Fisherman Place of birth of Father Duncan's Cove

Race Name and present address of Physician in attendance at birth Dr. V.L. Millie

Signature of Applicant Horatio Patrick Holland Address of Applicant Duncan's Cove Date 28 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Myrtle MayHolland

Born at Halifax in the County of Halifax

That Myrtle MayHolland Whose Birth is sought to be registered was

born at Halifax Halifax County on November 8, 1919

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

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