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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000543

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Olive MayHubley Sex Female

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

Name of Father Clifford E. Hubley MAIDEN NAME of Mother May G. Myers

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 General Insurance Agent Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth

Signature of Applicant D. F. Matheson Address of Applicant 2140 Connaught Avenue, Halifax Date July 1975

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Olive MayHubley

Born at Halifax in the County of Halifax

That Olive MayHubley Whose Birth is sought to be registered was

born at Halifax Halifax County on September 21, 1922

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

School and census records.

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