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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000107

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ethel MaryLahey Sex Female

Date of Birth August 5, 1924 Place of Birth DartmouthCounty of Halifax

Name of Father James Francis Lahey MAIDEN NAME of Mother Mary Smith

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

Residence of Father when child was born Dartmouth, NS Present address of Father Westphal, Halifax Co., NS

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ethel Mary Lahey Address of Applicant 10 Brookside Avenue, Dartmouth, NS Date 12 February 1951

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ethel MaryLahey

Born at Dartmouth in the County of Halifax

That Ethel MaryLahey Whose Birth is sought to be registered was

born at Dartmouth Halifax County on August 5, 1924

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

Certificate of Baptism produced herewith

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