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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000637

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edith ElizabethCollings Sex Female

Date of Birth August 20, 1922 Place of Birth Albro LakeCounty of Halifax

Name of Father Herbert Samuel Collings MAIDEN NAME of Mother Lillie Belle Tufts

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

Residence of Father when child was born Albro Lake, Dartmouth Present address of Father Jackson, Street, Dartmouth

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edith Elizabeth Burns Address of Applicant 44 Jackson Street, Dartmouth Date 29 March 1977

Relationship of Applicant to child one and the same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edith ElizabethCollings

Born at Albro Lake in the County of Halifax

That Edith ElizabethCollings Whose Birth is sought to be registered was

born at Albro Lake Halifax County on August 20, 1922

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

Baptismal certificate

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