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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200463

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ethel DorisGrant Sex Female

Date of Birth December 25, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Bernard Frederick Grant MAIDEN NAME of Mother Hilda May Munro

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

Residence of Father when child was born Halifax Present address of Father 141 Argyle St.

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

Race Name and present address of Physician in attendance at birth Dr. S.J. Turel

Signature of Applicant Bernard Frederick Grant Address of Applicant 141 Argyle St. Date 16 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ethel DorisGrant

Born at Halifax in the County of Halifax

That Ethel DorisGrant Whose Birth is sought to be registered was

born at Halifax Halifax County on December 25, 1919

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

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