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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200401

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gwendolyn MargaretProbert Sex Female

Date of Birth December 15, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Neil Joseph Probert MAIDEN NAME of Mother Hilda Mary Latham

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

Residence of Father when child was born Halifax Present address of Father 64A North Park St.

Occupation of Father at Birth of child Teamster Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth Dr. George M. Campbell

Signature of Applicant Neil Joseph Probert Address of Applicant 64A North Park St. Date 27 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gwendolyn MargaretProbert

Born at Halifax in the County of Halifax

That Gwendolyn MargaretProbert Whose Birth is sought to be registered was

born at Halifax Halifax County on December 15, 1919

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

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