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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000094

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Viola MayConrad Sex Female

Date of Birth September 26, 1924 Place of Birth DartmouthCounty of Halifax

Name of Father Allan Conrad MAIDEN NAME of Mother Stella McKay

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

Residence of Father when child was born 81 Fairbanks Street, Dartmouth, NS Present address of Father Boston, Massachusetts, USA

Occupation of Father at Birth of child Chauffeur Place of birth of Father Dartmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Allan W. Conrad Address of Applicant 2 Centre Street, Roxbury, Massachusetts Date 26 July 1950

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Viola MayConrad

Born at Dartmouth in the County of Halifax

That Viola MayConrad Whose Birth is sought to be registered was

born at Dartmouth Halifax County on September 26, 1924

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

I, Allan W. Conrad, being the father of the child, swear the above to be true. (Baptism certificate attached)

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