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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200275

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Allen BlakeConnors Sex Male

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

Name of Father James Michael Connors MAIDEN NAME of Mother Clara Maud Duggan

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

Residence of Father when child was born Halifax Present address of Father 267 Barrington St.

Occupation of Father at Birth of child Checker Place of birth of Father East Dover

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

Signature of Applicant Clara Maud Connors Address of Applicant 267 Barrington St. Date 08 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Allen BlakeConnors

Born at Halifax in the County of Halifax

That Allen BlakeConnors 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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