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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000059

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Stanley MartinEllis Sex Male

Date of Birth March 11, 1924 Place of Birth ImperoyalCounty of Halifax

Name of Father Edmond Ellis MAIDEN NAME of Mother Anna Crocker

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

Residence of Father when child was born Imperoyal, Halifax Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Elsie Conn Address of Applicant 5 1/2 Elm Street, Halifax, NS Date 24 March 1948

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Stanley MartinEllis

Born at Imperoyal in the County of Halifax

That Stanley MartinEllis Whose Birth is sought to be registered was

born at Imperoyal Halifax County on March 11, 1924

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

I am an older sister by ten years and I was in the house at the time minding my little sister. Also went for the Doctor

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