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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500181

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen Dorothy AnitaCarter Sex Female

Date of Birth December 13, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father William Henry Carter MAIDEN NAME of Mother Anita Gertrude Baker

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

Residence of Father when child was born Amherst Present address of Father 34 Academy St.

Occupation of Father at Birth of child Carpenter Place of birth of Father Amherst

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

Signature of Applicant William Henry Carter Address of Applicant 34 academy St., Amherst Date 12 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen Dorothy AnitaCarter

Born at Amherst in the County of Cumberland

That Helen Dorothy AnitaCarter Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 13, 1919

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

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