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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200317

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hellen MildredConrad Sex Female

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

Name of Father George Merton Conrad MAIDEN NAME of Mother Muriel May Davis

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

Residence of Father when child was born Halifax Present address of Father 16 Summit St.

Occupation of Father at Birth of child Electrician Place of birth of Father Liverpool, Queens Co.

Race Name and present address of Physician in attendance at birth Dr. G.R. Rice

Signature of Applicant George Merton Conrad Address of Applicant 16 Summit St. Date 09 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hellen MildredConrad

Born at Halifax in the County of Halifax

That Hellen MildredConrad 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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