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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000328

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hannah LouiseRomans Sex Female

Date of Birth October 20, 1922 Place of Birth Hammonds PlainsCounty of Halifax

Name of Father Lewis Romans MAIDEN NAME of Mother Theresa Brunswick

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

Residence of Father when child was born Hammonds Plains, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Hammonds Plains, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant John M. Hutton Address of Applicant 1504 Brunswick Street, Halifax Date 23 September 1965

Relationship of Applicant to child None

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hannah LouiseRomans

Born at Hammonds Plains in the County of Halifax

That Hannah LouiseRomans Whose Birth is sought to be registered was

born at Hammonds Plains Halifax County on October 20, 1922

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

Certificate of baptism

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