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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000662

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Agnes KathleenHoward Sex Female

Date of Birth November 2, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Edward Howard MAIDEN NAME of Mother Kathleen Little

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

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

Occupation of Father at Birth of child Stevadore Place of birth of Father Terence Bay, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Carl S. Bungay Address of Applicant 27 Clovis Avenue, Halifax, NS Date April 1980

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Agnes KathleenHoward

Born at Halifax in the County of Halifax

That Agnes KathleenHoward Whose Birth is sought to be registered was

born at Halifax Halifax County on November 2, 1924

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

School record Statistics Canada records

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