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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000017

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Irene VioletElls Sex Female

Date of Birth February 3, 1922 Place of Birth CanningCounty of Kings

Name of Father Basil Ells MAIDEN NAME of Mother Maie MacBride

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

Residence of Father when child was born Canning, Kings Present address of Father Canning, Kings

Occupation of Father at Birth of child Farmer Place of birth of Father Baxters Harbour, Kings

Race Name and present address of Physician in attendance at birth

Signature of Applicant Basil Ells Address of Applicant Canning, Kings Date 12 November 1946

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Irene VioletElls

Born at Canning in the County of Kings

That Irene VioletElls Whose Birth is sought to be registered was

born at Canning Kings County on February 3, 1922

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

I was present at the birth of my daughter, Irene Violet Ells

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