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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500208

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 25, 1919 Place of Birth River PhilipCounty of Cumberland

Name of Father Netis Matheson MAIDEN NAME of Mother Laura Laylor

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

Residence of Father when child was born River Philip Centre Present address of Father

Occupation of Father at Birth of child Labourer Place of birth of Father River Philip

Race Name and present address of Physician in attendance at birth Dr. O.R. Slater

Signature of Applicant Laura Matheson Address of Applicant River Philip Date 21 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen GladysMatheson

Born at River Philip in the County of Cumberland

That Helen GladysMatheson Whose Birth is sought to be registered was

born at River Philip Cumberland 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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