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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800631

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 14, 1921 Place of Birth HalifaxCounty of Halifax

Name of Father John Martin Tobin MAIDEN NAME of Mother Mary E. Sullivan

Residence of Father when child was born 47 Bauer Street, Halifax, NS Present address of Father Halifax, NS

Occupation of Father at Birth of child Barber Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary E. Tobin Address of Applicant 446 Robie Street, Halifax, NS Date 19 October 1944

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Audrey BenedictTobin Whose Birth is sought to be registered was

born at Halifax Halifax County on January 14, 1921

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

Dr. J. R. Corston was in attendance

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