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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200472

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mildred HarrietWills Sex Female

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

Name of Father Richard Wills MAIDEN NAME of Mother Mary MacDonald

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

Residence of Father when child was born Halifax Present address of Father 231 Brunswick St.

Occupation of Father at Birth of child Shoe maker Place of birth of Father Halifax

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

Signature of Applicant Richard Wills Address of Applicant 231 Brunswick St. Date 11 February1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mildred HarrietWills

Born at Halifax in the County of Halifax

That Mildred HarrietWills 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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