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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000048

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Florence KatherineHull Sex Female

Date of Birth June 23, 1920 Place of Birth ManchesterCounty of Guysborough

Name of Father Harding Hull MAIDEN NAME of Mother Carrie Myers

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

Residence of Father when child was born Manchester Present address of Father Boylston

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

Race English Name and present address of Physician in attendance at birth Dr. G.E. Buckley (now deceased)

Signature of Applicant Mrs. Florence Campbell Address of Applicant Boylston Date October 14, 1947

Relationship of Applicant to child I am applying for my own registration of birth

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Florence KatherineHull

Born at Manchester in the County of Guysborough

That Florence KatherineHull Whose Birth is sought to be registered was

born at Manchester Guysborough County on June 23, 1920

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

That I am the mother of Florence Katherine Hull

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