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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200465

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Daisy TeresaNelson Sex Female

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

Name of Father Alexander Edward Nelson MAIDEN NAME of Mother Marion McKeen Stewart

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

Residence of Father when child was born Halifax Present address of Father 100 Barrington St.

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

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

Signature of Applicant Alexander Edward Nelson Address of Applicant 100 Barrington St. Date 02 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Daisy TeresaNelson

Born at Halifax in the County of Halifax

That Daisy TeresaNelson 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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