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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200387

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Yvonne FrostColborne Sex Female

Date of Birth December 12, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Lance Edward Colborne MAIDEN NAME of Mother Verna Beryl Frost

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

Residence of Father when child was born Halifax Present address of Father 2 McCully St.

Occupation of Father at Birth of child Clerk Place of birth of Father Collingwood

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

Signature of Applicant Lance Edward Colborne Address of Applicant 2 McCully St. Date 10 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Yvonne FrostColborne

Born at Halifax in the County of Halifax

That Yvonne FrostColborne Whose Birth is sought to be registered was

born at Halifax Halifax County on December 12, 1919

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

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