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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100351

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elsie MarieAtwell Sex Female

Date of Birth September 12, 1920 Place of Birth MelansonCounty of Kings

Name of Father Frederick Judge Atwell MAIDEN NAME of Mother Rachael Annie  Blair

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Kings County Area

Race Name and present address of Physician in attendance at birth

Signature of Applicant Elsie Marie Rafuse Address of Applicant Wolfville Date May 1985

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elsie MarieAtwell

Born at Melanson in the County of Kings

That Elsie MarieAtwell Whose Birth is sought to be registered was

born at Melanson Kings County on September 12, 1920

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

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