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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200467

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Queenie MayBardsley Sex Female

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

Name of Father Hugh Mack Bardsley MAIDEN NAME of Mother Helen Margaret MacKenzie

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

Residence of Father when child was born Halifax Present address of Father 35 Duncan St.

Occupation of Father at Birth of child Acetylene welder Place of birth of Father Halifax

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

Signature of Applicant Hugh Mack Bardsley Address of Applicant 35 Duncan St. Date 23 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Queenie MayBardsley

Born at Halifax in the County of Halifax

That Queenie MayBardsley 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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