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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200408

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Merle LeeHinds Sex Female

Date of Birth December 17, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Ambrose Dawling Hinds MAIDEN NAME of Mother Daisy Elizabeth Gough

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

Residence of Father when child was born Halifax Present address of Father Fairview

Occupation of Father at Birth of child Clerk Place of birth of Father Mount Forest, Ontario

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

Signature of Applicant Daisy Elizabeth Hinds Address of Applicant Fairview Date 01 February1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Merle LeeHinds

Born at Halifax in the County of Halifax

That Merle LeeHinds Whose Birth is sought to be registered was

born at Halifax Halifax County on December 17, 1919

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

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