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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500234

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of DorothySaffron Sex Female

Date of Birth December 19, 1919 Place of Birth SpringhillCounty of Cumberland

Name of Father Morris Saffron MAIDEN NAME of Mother Ethel Saffron

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

Residence of Father when child was born Springhill Present address of Father

Occupation of Father at Birth of child Furniture dealer Place of birth of Father Poland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Morris Saffron Address of Applicant Springhill Date 31 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of DorothySaffron

Born at Springhill in the County of Cumberland

That DorothySaffron Whose Birth is sought to be registered was

born at Springhill Cumberland County on December 19, 1919

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

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