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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000440

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 21, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father James Allan Purcell MAIDEN NAME of Mother Ellen Smith

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

Residence of Father when child was born Corner of Robie Street and Kane Street, Halifax Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Sheet Harbour, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant J. C. Purcell Address of Applicant RR #4, Site 1A, box 2, Shad Bay, Halifax Date January 1972

Relationship of Applicant to child Brother

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Helen MarionPurcell Whose Birth is sought to be registered was

born at Halifax Halifax County on May 21, 1922

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

Information received from church where she was baptized and from other family members.

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