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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100016

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of helena MarionMillard Sex Female

Date of Birth August 20, 1923 Place of Birth TatamagoucheCounty of Colchester

Name of Father Leslie Campbell Millard MAIDEN NAME of Mother Rosa May Tattrie

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

Residence of Father when child was born Tatamagouche Colchester Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Tatamagouche, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rosa May Millard Address of Applicant 35 Robinson Street, Grimsby, Ontario Date 26 October 1987

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of helena MarionMillard

Born at Tatamagouche in the County of Colchester

That helena MarionMillard Whose Birth is sought to be registered was

born at Tatamagouche Colchester County on August 20, 1923

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

I'm her mother School extract Census

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