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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200425

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 18, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Charles LeRoy Dunston MAIDEN NAME of Mother Mairabell Jennie Waterfield

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

Residence of Father when child was born Halifax Present address of Father 97 Wellington St.

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

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

Signature of Applicant Charles LeRoy Dunston Address of Applicant Halifax Date 09 January 1920

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Ellen MairabellDunston Whose Birth is sought to be registered was

born at Halifax Halifax County on December 18, 1919

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

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