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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200373

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ellen MarionAustin Sex Female

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

Name of Father William Austin MAIDEN NAME of Mother Elizabeth Sims

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

Residence of Father when child was born Halifax Present address of Father 193 Jubilee Rd.

Occupation of Father at Birth of child Labourer Place of birth of Father London, England

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

Signature of Applicant Dr. Miller Address of Applicant Morris St. Date 15 December 1919

Relationship of Applicant to child doctor

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ellen MarionAustin

Born at Halifax in the County of Halifax

That Ellen MarionAustin 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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