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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000411

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mollie Camille RoseLittle Sex Female

Date of Birth November 10, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father James Leonard Little MAIDEN NAME of Mother Lorette Ann Coolen

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

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

Occupation of Father at Birth of child Foreman at H. R. Silver Company Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gordon Heely Address of Applicant 2659 Agricola Street, Halifax Date 23 March 1971

Relationship of Applicant to child Brother in Law

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mollie Camille RoseLittle

Born at Halifax in the County of Halifax

That Mollie Camille RoseLittle Whose Birth is sought to be registered was

born at Halifax Halifax County on November 10, 1922

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

Certificate of baptism

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