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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200265

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen ElaineFry Sex Female

Date of Birth November 18, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Richard Fry MAIDEN NAME of Mother Pauline Lannigan

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

Residence of Father when child was born Halifax Present address of Father 83 Birmingham St.

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

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

Signature of Applicant Robina B. Macaulay Address of Applicant 83 Birmingham St. Date 28 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen ElaineFry

Born at Halifax in the County of Halifax

That Helen ElaineFry Whose Birth is sought to be registered was

born at Halifax Halifax County on November 18, 1919

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

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