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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600987

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helena AlvaMattatall Sex Female

Date of Birth August 15, 1921 Place of Birth TatamagoucheCounty of Colchester

Name of Father George P. Mattatall MAIDEN NAME of Mother Margaret Mabel Mattatall

Residence of Father when child was born Tatamagouche, Colchester Co., NS Present address of Father Tatamagouche, Colchester Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Tatamagouche, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Mabel Mattatall Address of Applicant Tatamagouche, Colchester Co., NS Date 6 June 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helena AlvaMattatall

Born at Tatamagouche in the County of Colchester

That Helena AlvaMattatall Whose Birth is sought to be registered was

born at Tatamagouche Colchester County on August 15, 1921

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

I am her mother

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