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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000281

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Doris BerniceHancock Sex Female

Date of Birth July 21, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Harold Edwin Hancock MAIDEN NAME of Mother Mary Agnes Stacey

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

Residence of Father when child was born Halifax Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Doris Bernice Hancock Address of Applicant 5820 Balmoral Road, Halifax, NS Date 10 September 1962

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Doris BerniceHancock

Born at Halifax in the County of Halifax

That Doris BerniceHancock Whose Birth is sought to be registered was

born at Halifax Halifax County on July 21, 1923

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

Certificate of Baptism

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