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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200333

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Millie LoreneMosher Sex Female

Date of Birth November 30, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Raymond Mosher MAIDEN NAME of Mother Mary Sarah Dunford

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

Residence of Father when child was born Halifax Present address of Father 500 Robie St.

Occupation of Father at Birth of child Steam fitter Place of birth of Father Boston, Massachusetts

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

Signature of Applicant Raymond Mosher Address of Applicant 500 Robie St. Date 04 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Millie LoreneMosher

Born at Halifax in the County of Halifax

That Millie LoreneMosher Whose Birth is sought to be registered was

born at Halifax Halifax County on November 30, 1919

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

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