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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600335

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris marionTufts Sex Female

Date of Birth August 21, 1923 Place of Birth DartmouthCounty of Halifax

Name of Father Richard H. Tufts MAIDEN NAME of Mother Mary M. Horne

Residence of Father when child was born Tufts Cove, Halifax Co., NS Present address of Father Tufts Cove, Halifax Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary M. Tufts Address of Applicant Tufts Cove, Halifax Co., NS Date 13 May 1935

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris marionTufts

Born at Dartmouth in the County of Halifax

That Doris marionTufts Whose Birth is sought to be registered was

born at Dartmouth Halifax County on August 21, 1923

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

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