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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92000655

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Maurice OwenEdwards Sex Male

Date of Birth November 3, 1923 Place of Birth 35 Pine Street, DartmouthCounty of Halifax

Name of Father Carleton Sylvester Edwards MAIDEN NAME of Mother Florence Carter

Residence of Father when child was born 35 Pine Street, Dartmouth, NS Present address of Father 31 Pleasant Street, Dartmouth, NS

Occupation of Father at Birth of child Display Artist Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Florence Edwards Address of Applicant 31 Pleasant Street, Dartmouth, NS Date 16 November 1942

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maurice OwenEdwards

Born at 35 Pine Street, Dartmouth in the County of Halifax

That Maurice OwenEdwards Whose Birth is sought to be registered was

born at 35 Pine Street, Dartmouth Halifax County on November 3, 1923

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

I am the mother of the said Maurice Owen Edwards

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