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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000367

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of BruceKeeler Sex Male

Date of Birth August 18, 1920 Place of Birth DartmouthCounty of Halifax

Name of Father Ernest B. Keeler MAIDEN NAME of Mother Anabel D. Baker

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

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

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

Race English German Name and present address of Physician in attendance at birth Dr. Burris

Signature of Applicant Bruce D. Keeler Address of Applicant 38 Grant Street, Dartmouth Date 29 October 1962

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Dartmouth in the County of Halifax

That BruceKeeler Whose Birth is sought to be registered was

born at Dartmouth Halifax County on August 18, 1920

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

School record. Ottawa census.

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