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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200221

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary GraceConnell Sex Female

Date of Birth November 9, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Harry Hastings Connell MAIDEN NAME of Mother Mary Loretta Thibideau

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

Residence of Father when child was born Halifax Present address of Father 20 Endicott Ave.

Occupation of Father at Birth of child Meat cutter Place of birth of Father Bridgetown

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

Signature of Applicant Mary Connell Address of Applicant 20 Endicott Ave. Date 01 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary GraceConnell

Born at Halifax in the County of Halifax

That Mary GraceConnell Whose Birth is sought to be registered was

born at Halifax Halifax County on November 9, 1919

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

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