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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000073

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Inez FayCarlton Sex Female

Date of Birth June 15, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father David O. Carlton MAIDEN NAME of Mother Libby Smith

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

Residence of Father when child was born Halifax Present address of Father Halifax

Occupation of Father at Birth of child Labourer Place of birth of Father England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nellie W. Irwin Address of Applicant 222 Brunswick Street, Halifax Date 3 August 1948

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Inez FayCarlton

Born at Halifax in the County of Halifax

That Inez FayCarlton Whose Birth is sought to be registered was

born at Halifax Halifax County on June 15, 1922

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

I am older sister (31 years older). Well remember the day the child was born.

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