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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

60200222

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Florence MargaretHarding Sex Female

Date of Birth May 10, 1922 Place of Birth Forest GlenCounty of Yarmouth

Name of Father   MAIDEN NAME of Mother Mabel Harding

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 Dr. W. C. Harris

Signature of Applicant Mabel Harding Hanna Address of Applicant Flint, Michigan Date 9 October 1926

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Florence MargaretHarding

Born at Forest Glen in the County of Yarmouth

That Florence MargaretHarding Whose Birth is sought to be registered was

born at Forest Glen Yarmouth County on May 10, 1922

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

I am her mother

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