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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600326

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wilfred ArnoldFord Sex Male

Date of Birth June 6, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Sydney Lucas MAIDEN NAME of Mother Ethel May Ford

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

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

Occupation of Father at Birth of child Porter Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ethel Brown Address of Applicant Halifax, NS Date 27 April 1934

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wilfred ArnoldFord

Born at Halifax in the County of Halifax

That Wilfred ArnoldFord Whose Birth is sought to be registered was

born at Halifax Halifax County on June 6, 1923

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

I am his mother

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