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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100063

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen FrancisRichards Sex Female

Date of Birth August 3, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father Frederick Richards MAIDEN NAME of Mother Gertrude McGrath

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

Residence of Father when child was born Barrington St. Halifax Present address of Father 2750 Gottingen St. Halifax

Occupation of Father at Birth of child Stevedore Shipyard Place of birth of Father Chezzetcook

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen Whittier Address of Applicant Black Point Date September 10, 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen FrancisRichards

Born at Halifax in the County of Halifax

That Helen FrancisRichards Whose Birth is sought to be registered was

born at Halifax Halifax County on August 3, 1921

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

1) Baptismal 2) Marriage Extract

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