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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200316

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Margaret LilliaHart Sex Female

Date of Birth November 27, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Harry Clayton Hart MAIDEN NAME of Mother Mary Jane Smith

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

Residence of Father when child was born Halifax Present address of Father Marlborough Woods

Occupation of Father at Birth of child Machinist and carpenter Place of birth of Father Margaree, Cape Breton

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

Signature of Applicant Harry Clayton Hart Address of Applicant Marlborough Woods Date 05 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Margaret LilliaHart

Born at Halifax in the County of Halifax

That Margaret LilliaHart Whose Birth is sought to be registered was

born at Halifax Halifax County on November 27, 1919

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

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