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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91500258

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of FlorenceBrody Sex Female

Date of Birth June 8, 1923 Place of Birth YarmouthCounty of Yarmouth

Name of Father Jack Harvy Brody MAIDEN NAME of Mother Ida Cohen

Residence of Father when child was born Yarmouth, NS Present address of Father Yarmouth, NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ida Brody Address of Applicant Yarmouth, NS Date 22 May 1941

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of FlorenceBrody

Born at Yarmouth in the County of Yarmouth

That FlorenceBrody Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on June 8, 1923

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

That I am the mother of Florence Brody

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