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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000098

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rosemary LouiseNewman Sex Female

Date of Birth January 15, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Samuel Newman MAIDEN NAME of Mother Lottie Wilson Conrad

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

Residence of Father when child was born 28 Bauer St. Halifax Present address of Father 162 Brunswick St. Halifax

Occupation of Father at Birth of child Blacksmith Place of birth of Father Kief, Russia

Race White Name and present address of Physician in attendance at birth Judson v. Graham

Signature of Applicant Lottie W. Newman Address of Applicant 162 Brunswick St. Halifax Date September 16, 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rosemary LouiseNewman

Born at Halifax in the County of Halifax

That Rosemary LouiseNewman Whose Birth is sought to be registered was

born at Halifax Halifax County on January 15, 1921

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

I am the mother of Rosemary Louise Newman

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