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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000996

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EleanorLangston Sex Female

Date of Birth July 3, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father James Langston MAIDEN NAME of Mother Mary Bertha Blanchard

Residence of Father when child was born Brunswick St. Halifax Present address of Father Dartmouth

Occupation of Father at Birth of child News agent Place of birth of Father England

Race Name and present address of Physician in attendance at birth

Signature of Applicant James Langston Address of Applicant Dartmouth Date September 9, 1931

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EleanorLangston

Born at Halifax in the County of Halifax

That EleanorLangston Whose Birth is sought to be registered was

born at Halifax Halifax County on July 3, 1924

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

I am her father

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