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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90700096

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ethel JeanWood Sex Female

Date of Birth March 12, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Albert Wood MAIDEN NAME of Mother Jane Mills

Residence of Father when child was born 11 Livingstone Place, Halifax, NS Present address of Father 316 Scarborough Road, Toronto, Ontario

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jane Wood Address of Applicant 316 Scarborough Road, Toronto, Ontario Date 21 March 1936

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ethel JeanWood

Born at Halifax in the County of Halifax

That Ethel JeanWood Whose Birth is sought to be registered was

born at Halifax Halifax County on March 12, 1923

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

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