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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500120

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 19, 1919 Place of Birth Joggins MinesCounty of Cumberland

Name of Father William J Mitchell MAIDEN NAME of Mother Edith Landry

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

Residence of Father when child was born Joggins Mines Present address of Father

Occupation of Father at Birth of child Accountant Place of birth of Father Scotland

Race Name and present address of Physician in attendance at birth Dr. W.A. MacLeod

Signature of Applicant William J. Mitchell Address of Applicant Joggins Mines Date 22 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mildred Renovia HelenMitchell

Born at Joggins Mines in the County of Cumberland

That Mildred Renovia HelenMitchell Whose Birth is sought to be registered was

born at Joggins Mines Cumberland County on November 19, 1919

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

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