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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000032

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Avis MarionBugley Sex Female

Date of Birth December 2, 1920 Place of Birth TidnishCounty of Cumberland

Name of Father Renirck Bugley MAIDEN NAME of Mother Minnie Brownell

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

Residence of Father when child was born Tidnish Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Tidnish

Race English Name and present address of Physician in attendance at birth Dr. C.B. Cullen, Port Elgin, NB

Signature of Applicant Minnie E. Bugley Address of Applicant Tidnish Date April 20, 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Avis MarionBugley

Born at Tidnish in the County of Cumberland

That Avis MarionBugley Whose Birth is sought to be registered was

born at Tidnish Cumberland County on December 2, 1920

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

I am the Mother of Avis Marion Bugley and as such have personal knowledge that the above stated date of birth is true.

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