Female Birth Registration: Year: 1921 number: 99000523
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000523
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of MaryHiltz Sex Female
Date of Birth May 17, 1921 Place of Birth YarmouthCounty of Yarmouth
Name of Father MAIDEN NAME of Mother Winifred Hiltz
Residence of Father when child was born Present address of Father
Occupation of Father at Birth of child Place of birth of Father
Race Caucasian Name and present address of Physician in attendance at birth
Signature of Applicant Sister John Elizabeth Address of Applicant 2037 Parker St. Halifax Date July 31, 1973
Relationship of Applicant to child Executive Director Home of Guardian Angel
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of MaryHiltz
Born at Yarmouth in the County of Yarmouth
That MaryHiltz Whose Birth is sought to be registered was
born at Yarmouth Yarmouth County on May 17, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Baptismal Certificate from St. Ambrose Cathedral in Yarmouth
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416916
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