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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000774

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stella MayCrawley Sex Female

Date of Birth September 30, 1922 Place of Birth East PrestonCounty of Halifax

Name of Father   MAIDEN NAME of Mother Inez Rebecca Crawley

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Wayne M. Kelsie Address of Applicant 1529 Dresden Row, Halifax Date 2 October 1979

Relationship of Applicant to child Solicitor

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stella MayCrawley

Born at East Preston in the County of Halifax

That Stella MayCrawley Whose Birth is sought to be registered was

born at East Preston Halifax County on September 30, 1922

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

Court findings - C.H. No. 29750

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