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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000887

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Grace LillianAckles Sex Female

Date of Birth August 23, 1923 Place of Birth DartmouthCounty of Halifax

Name of Father Ernest M. Ackles MAIDEN NAME of Mother Gladys M. Wilson

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

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

Occupation of Father at Birth of child Gauger (Imperial Oil) Place of birth of Father Amherst, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Grace Miller Address of Applicant Box 14, Porters Lake, Halifax Co., NS Date 21 March 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Grace LillianAckles

Born at Dartmouth in the County of Halifax

That Grace LillianAckles Whose Birth is sought to be registered was

born at Dartmouth Halifax County on August 23, 1923

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

Baptismal School extract

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