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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200273

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie ElizabethLewin Sex Female

Date of Birth November 20, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John Joseph Lewin MAIDEN NAME of Mother Annie May Innes

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

Residence of Father when child was born Halifax Present address of Father 70 Pepperell St.

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

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

Signature of Applicant John Joseph Lewin Address of Applicant 70 Pepperell St. Date 20 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie ElizabethLewin

Born at Halifax in the County of Halifax

That Annie ElizabethLewin Whose Birth is sought to be registered was

born at Halifax Halifax County on November 20, 1919

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

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