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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000180

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 7, 1923 Place of Birth DominionCounty of Cape Breton

Name of Father Walter Graham MAIDEN NAME of Mother Frances Laffin

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

Residence of Father when child was born Dominion Cape Breton Co. Ns Present address of Father King's Road, Dominion, Cape Breton Co., NS

Occupation of Father at Birth of child Accountant Place of birth of Father Gardiner Mines, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Walter Graham Address of Applicant Dominion, Cape Breton Co., NS Date 31 August 1954

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Dominion in the County of Cape Breton

That Helen FrancesGraham Whose Birth is sought to be registered was

born at Dominion Cape Breton County on March 7, 1923

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

I am her father (Church record)

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