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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000499

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ida IreneWilliams Sex Female

Date of Birth July 21, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Ailsa Lucinda Williams

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

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

Signature of Applicant Victor MacAvoy Address of Applicant 1349 Breton St. Halifax Date August 24, 1972

Relationship of Applicant to child Son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ida IreneWilliams

Born at Halifax in the County of Halifax

That Ida IreneWilliams Whose Birth is sought to be registered was

born at Halifax Halifax County on July 21, 1921

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

Marriage School Record Census

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