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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000320

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice Ruby violaCowell Sex Female

Date of Birth March 3, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Richard Roy Cowell MAIDEN NAME of Mother Annie Theresa Himmelman

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

Occupation of Father at Birth of child Gas Works Place of birth of Father Lancaster County, England

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Ruby Alice Viola Hatfield Address of Applicant PO Box 375, Greenwood, Kings Co., NS Date 2 November 1964

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice Ruby violaCowell

Born at Halifax in the County of Halifax

That Alice Ruby violaCowell Whose Birth is sought to be registered was

born at Halifax Halifax County on March 3, 1923

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

Baptism certificate

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