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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200283

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of helen Theresa CairelJohnson Sex Female

Date of Birth November 22, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Walter Johnson MAIDEN NAME of Mother Sadie Marie Watson Hunt

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

Residence of Father when child was born Halifax Present address of Father 27 Longard Rd.

Occupation of Father at Birth of child Place of birth of Father Hammonds Plains

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

Signature of Applicant Sadie Marie Watson Johnson Address of Applicant 27 Longard Rd. Date 22 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of helen Theresa CairelJohnson

Born at Halifax in the County of Halifax

That helen Theresa CairelJohnson Whose Birth is sought to be registered was

born at Halifax Halifax County on November 22, 1919

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

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