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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200433

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William LigouriKelly Sex Male

Date of Birth December 20, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Thomas Kelly MAIDEN NAME of Mother Marcella McMasters

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

Residence of Father when child was born Halifax Present address of Father 2 St. John Ave.

Occupation of Father at Birth of child Shoemaker Place of birth of Father Renfrewshire, Scotland

Race Name and present address of Physician in attendance at birth Dr. Buckley

Signature of Applicant Thomas Kelly Address of Applicant 2 St. John Ave. Date 02 February1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William LigouriKelly

Born at Halifax in the County of Halifax

That William LigouriKelly Whose Birth is sought to be registered was

born at Halifax Halifax County on December 20, 1919

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

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