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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200291

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EvelynLandrey Sex Female

Date of Birth November 23, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Alexander Landrey MAIDEN NAME of Mother Mildred Parsons

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

Residence of Father when child was born Halifax Present address of Father 229 Creighton St.

Occupation of Father at Birth of child Mechanic Place of birth of Father Pugwash

Race Name and present address of Physician in attendance at birth Dr. O'Brien

Signature of Applicant Mildred Landrey Address of Applicant 229 Creighton St. Date 12 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EvelynLandrey

Born at Halifax in the County of Halifax

That EvelynLandrey Whose Birth is sought to be registered was

born at Halifax Halifax County on November 23, 1919

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

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