Female Birth Registration: Year: 1923 number: 99000754
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000754
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Edith AmyLively Sex Female
Date of Birth June 16, 1923 Place of Birth Beaver BankCounty of Halifax
Name of Father Martin S. Lively MAIDEN NAME of Mother Esther Jane Shunamon
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Beaver Bank Halifax Co. Ns Present address of Father Deceased
Occupation of Father at Birth of child Lumberman Place of birth of Father Beaver Bank, Halifax Co., NS
Race Name and present address of Physician in attendance at birth
Signature of Applicant Edith Amy Lee Address of Applicant 16 Brayside Lane, Halifax, NS Date 9 November 1979
Relationship of Applicant to child Self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Edith AmyLively
Born at Beaver Bank in the County of Halifax
That Edith AmyLively Whose Birth is sought to be registered was
born at Beaver Bank Halifax County on June 16, 1923
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Baptismal
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=446182
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