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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200325

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris IreneVincent Sex Female

Date of Birth November 29, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Amos Vincent MAIDEN NAME of Mother Florence Margaret Yeadon

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

Residence of Father when child was born Halifax Present address of Father 91 Duncan St.

Occupation of Father at Birth of child Steamfitter Place of birth of Father Newfoundland

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

Signature of Applicant Florence Margaret Vincent Address of Applicant 91 Duncan St. Date 28 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris IreneVincent

Born at Halifax in the County of Halifax

That Doris IreneVincent Whose Birth is sought to be registered was

born at Halifax Halifax County on November 29, 1919

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

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