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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000536

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of May AlmiraPrivett Sex Female

Date of Birth January 17, 1921 Place of Birth DartmouthCounty of Halifax

Name of Father Albert Henry Privett MAIDEN NAME of Mother Ada Pearl Graham

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

Residence of Father when child was born Dartmouth Present address of Father 371 Waverly Rd.

Occupation of Father at Birth of child Truck Driver Place of birth of Father Dartmouth

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

Signature of Applicant Mrs. Geo Kennedy Address of Applicant 732 Waverly Rd. Dartmouth Date January 8, 1974

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of May AlmiraPrivett

Born at Dartmouth in the County of Halifax

That May AlmiraPrivett Whose Birth is sought to be registered was

born at Dartmouth Halifax County on January 17, 1921

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

Baptism

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