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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000272

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Louis AlfredGraves Sex Male

Date of Birth October 5, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Louis Alfred Graves MAIDEN NAME of Mother Ellen Frances Upham

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

Residence of Father when child was born Halifax Present address of Father deceased

Occupation of Father at Birth of child Accountant Place of birth of Father Halifax

Race English Name and present address of Physician in attendance at birth Dr. Carston

Signature of Applicant Ellen F. Graves Address of Applicant 44 Harvard St. Halifax Date February 2, 1960

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Louis AlfredGraves

Born at Halifax in the County of Halifax

That Louis AlfredGraves Whose Birth is sought to be registered was

born at Halifax Halifax County on October 5, 1921

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

I am his mother Baptism Certificate.

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