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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000522

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Halda MadelineTibbetts Sex Female

Date of Birth May 29, 1923 Place of Birth Port GrevilleCounty of Cumberland

Name of Father Wylie D. Tibbetts MAIDEN NAME of Mother Mabel Bennett

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

Residence of Father when child was born Port Greville Present address of Father deceased

Occupation of Father at Birth of child Mill worker Place of birth of Father Wards Brook

Race Name and present address of Physician in attendance at birth

Signature of Applicant Halda M. Bennett Address of Applicant 4 line N Milton Ontario Date May 5, 1975

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Halda MadelineTibbetts

Born at Port Greville in the County of Cumberland

That Halda MadelineTibbetts Whose Birth is sought to be registered was

born at Port Greville Cumberland County on May 29, 1923

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

I am the mother of Halda Madeline Tibbetts and know her birth to be May 29, 1923 Also Family Bible Record is enclosed Also it is my belief that her birth is recorded

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