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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200388

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rose CatherineHall Sex Female

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

Name of Father Harry Hall MAIDEN NAME of Mother Agnes Whitney

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father Fulham, England

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

Signature of Applicant Harry Hall Address of Applicant McDonald St. Date 05 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rose CatherineHall

Born at Halifax in the County of Halifax

That Rose CatherineHall 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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