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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900244

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen MaryLintaman Sex Female

Date of Birth June 10, 1921 Place of Birth DartmouthCounty of Halifax

Name of Father Ray J. Lintaman MAIDEN NAME of Mother Hilda May Short

Residence of Father when child was born 17 Dahalia Street, Dartmouth, NS Present address of Father 136 Prince Albert Road, Dartmouth, NS

Occupation of Father at Birth of child Plumber Place of birth of Father Dartmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen Mary Lintaman Address of Applicant 136 Prince Albert Road, Dartmouth, NS Date 5 April 1945

Relationship of Applicant to child I am the child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen MaryLintaman

Born at Dartmouth in the County of Halifax

That Helen MaryLintaman Whose Birth is sought to be registered was

born at Dartmouth Halifax County on June 10, 1921

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

Family bible

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