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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91600993

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Audrey PhillipsMeerson Sex Female

Date of Birth October 9, 1922 Place of Birth HalifaxCounty of Halifax

Name of Father James Henry Merson MAIDEN NAME of Mother Mabel Bertha Conrod

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

Occupation of Father at Birth of child Farmer Place of birth of Father Lawrencetown, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mabel Bertha Merson Address of Applicant 592 Gottingen Street, Halifax, NS Date 11 May 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Audrey PhillipsMeerson

Born at Halifax in the County of Halifax

That Audrey PhillipsMeerson Whose Birth is sought to be registered was

born at Halifax Halifax County on October 9, 1922

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

Mother of child

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