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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000528

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Barbara WillaMelvin Sex Female

Date of Birth June 24, 1921 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father William Percy  Melvin MAIDEN NAME of Mother Rose Dell Thompson

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

Residence of Father when child was born Hammonds Plains Present address of Father deceased

Occupation of Father at Birth of child Mill Owner Place of birth of Father Hammonds Plains

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

Signature of Applicant Barbara W. Leary Address of Applicant Chelsea RR1 Bridgewater Date August 1973

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Barbara WillaMelvin

Born at Hammonds Plains in the County of Halifax

That Barbara WillaMelvin Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on June 24, 1921

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

Entry in Family Bible Marriage Certificate

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