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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200304

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edith FlorencePalmer Sex Female

Date of Birth November 25, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father John George Palmer MAIDEN NAME of Mother Mary Wreay

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

Residence of Father when child was born Halifax Present address of Father 18 John St.

Occupation of Father at Birth of child Ship's barber Place of birth of Father Brockham

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

Signature of Applicant John George Palmer Address of Applicant 18 John St. Date 08 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edith FlorencePalmer

Born at Halifax in the County of Halifax

That Edith FlorencePalmer Whose Birth is sought to be registered was

born at Halifax Halifax County on November 25, 1919

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

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