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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000256

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 16, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father   MAIDEN NAME of Mother Vera Carson

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Address of Applicant 33 Quinpool Road, Halifax Date 13 June 1960

Relationship of Applicant to child None

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Helen MarieCarson Whose Birth is sought to be registered was

born at Halifax Halifax County on March 16, 1922

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

Information from records of Saint Josephs Orphanage, Halifax and a copy of baptismal certificate from Saint Patricks Church, Halifax

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