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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200370

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruth EllenEvans Sex Female

Date of Birth December 8, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Frank Baker Evans MAIDEN NAME of Mother Gertrude Margaret Lierney

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

Residence of Father when child was born Halifax Present address of Father 3 Willow St.

Occupation of Father at Birth of child Carpenter Place of birth of Father St. John, N.B.

Race Name and present address of Physician in attendance at birth Dr. J.R. Corston

Signature of Applicant Frank Baker Evans Address of Applicant 3 Willow St. Date 14 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruth EllenEvans

Born at Halifax in the County of Halifax

That Ruth EllenEvans Whose Birth is sought to be registered was

born at Halifax Halifax County on December 8, 1919

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

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