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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93501922

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 7, 1906 Place of Birth SydneyCounty of Cape Breton

Name of Father Charles Maxwell MAIDEN NAME of Mother Marion Watson

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

Occupation of Father at Birth of child Livery Business Place of birth of Father St. Stephen, New Brunswick

Race white Name and present address of Physician in attendance at birth Dr. Cooperwhaite

Signature of Applicant Gertrude Watson Address of Applicant Sydney Date 27 February 1926

Relationship of Applicant to child cousin

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Helen LaviniaMaxwell Whose Birth is sought to be registered was

born at Sydney Cape Breton County on July 7, 1906

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

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