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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91602459

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clyde HenryParnell Sex Male

Date of Birth January 25, 1920 Place of Birth North West BayCounty of Queens

Name of Father Walter Freeman Parnell MAIDEN NAME of Mother Phoebe Selina Gaetz

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

Residence of Father when child was born North West Bay, Queens Co. Present address of Father North West Bay, Queens Co.

Occupation of Father at Birth of child Fisherman Place of birth of Father Mill Village, Queens Co.

Race Dutch Name and present address of Physician in attendance at birth Dr. Freeman Smith

Signature of Applicant Mrs. Phoebe Selina Parnell Address of Applicant North West Bay, PO East Port Medway, Queens Co. Date 25 January 1920

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clyde HenryParnell

Born at North West Bay in the County of Queens

That Clyde HenryParnell Whose Birth is sought to be registered was

born at North West Bay Queens County on January 25, 1920

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

I am the mother of Clyde Henry Parnell and know the date of his birth to be stated, January 25, 1920

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