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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800698

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean LillianPower Sex Female

Date of Birth January 1, 1923 Place of Birth DartmouthCounty of Halifax

Name of Father Robert Power MAIDEN NAME of Mother Ethel Mailman

Residence of Father when child was born Dartmouth, NS Present address of Father Worcester, Massachusetts, USA

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Ethel Power Address of Applicant Worcester, Massachusetts, USA Date 21 July 1944

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean LillianPower

Born at Dartmouth in the County of Halifax

That Jean LillianPower Whose Birth is sought to be registered was

born at Dartmouth Halifax County on January 1, 1923

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

I am the mother of Jean Lillian Power

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