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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200503

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna LillyVardig Sex Female

Date of Birth December 29, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Noel Vardig MAIDEN NAME of Mother Lilly Martin

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

Residence of Father when child was born Halifax Present address of Father 34 John St.

Occupation of Father at Birth of child Tinsmith Place of birth of Father Holding, Denmark

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

Signature of Applicant Charles Noel Vardig Address of Applicant 34 John St. Date 01 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna LillyVardig

Born at Halifax in the County of Halifax

That Anna LillyVardig Whose Birth is sought to be registered was

born at Halifax Halifax County on December 29, 1919

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

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