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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000263

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nina LouiseBugley Sex

Date of Birth December 24, 1920 Place of Birth TidnishCounty of Cumberland

Name of Father Frank Leslie Bugley MAIDEN NAME of Mother Flora May Smith

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 Well driller & fisherman Place of birth of Father Tidnish

Race Anglo-Saxon Name and present address of Physician in attendance at birth Dr. H.C.B. Allen, Port Elgin, New Brunswick (Deceased)

Signature of Applicant Flora Bugley Address of Applicant 76 Church Street, Amherst Date July 23, 1956

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nina LouiseBugley

Born at Tidnish in the County of Cumberland

That Nina LouiseBugley Whose Birth is sought to be registered was

born at Tidnish Cumberland County on December 24, 1920

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

I recall the date of her birth distinctly and have remembered it ever since.

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