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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000112

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 6, 1924 Place of Birth DartmouthCounty of Halifax

Name of Father Earl A. Conrad MAIDEN NAME of Mother Emmeline E. McDow

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

Residence of Father when child was born Dartmouth, NS Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father East Chezzetcook, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Self Address of Applicant West Jeddore, Halifax Co., NS Date 4 July 1951

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Dartmouth in the County of Halifax

That Ethel LillianConrad Whose Birth is sought to be registered was

born at Dartmouth Halifax County on January 6, 1924

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

Baptismal certificate attached

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