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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000020

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 18, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father John Clyde Graham MAIDEN NAME of Mother Annie Evangeline Gallop

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Robie Street Halifax Ns Present address of Father 1012 Robie Street, Halifax, NS

Occupation of Father at Birth of child Scaleman with Canadian National Railway (Express) Place of birth of Father Halifax, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Annie Graham Address of Applicant 1012 Robie Street, Halifax, NS Date 21 August 1946

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Helen FrancesGraham Whose Birth is sought to be registered was

born at Halifax Halifax County on December 18, 1923

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

In attendance at birth. I am Aunt of said Helen Frances Graham and know that Helen Frances Graham was born at Halifax, NS on December 18, 1923.

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