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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000447

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Emily SteeleMacCulloch Sex Female

Date of Birth February 10, 1920 Place of Birth DiamondCounty of Pictou

Name of Father Donald MacCulloch MAIDEN NAME of Mother Christena Baillie

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

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

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

Race Scottish Name and present address of Physician in attendance at birth Dr. Campbell, deceased

Signature of Applicant Emily Grattan Address of Applicant Scotsburn Date May 26, 1967

Relationship of Applicant to child myself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Emily SteeleMacCulloch

Born at Diamond in the County of Pictou

That Emily SteeleMacCulloch Whose Birth is sought to be registered was

born at Diamond Pictou County on February 10, 1920

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

Cradle Roll Certificate School Records Marriage and School Record in error as to spelling of surname McCulloch. Correct spelling MacCulloch

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