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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500065

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lester ArnoldNelson Sex Male

Date of Birth October 16, 1919 Place of Birth SpringhillCounty of Cumberland

Name of Father Fred Arthur Nelson MAIDEN NAME of Mother Evelyn Jenna Keith

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

Residence of Father when child was born Springhill Present address of Father

Occupation of Father at Birth of child Labourer Place of birth of Father East Mapleton

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

Signature of Applicant Fred Arthur Nelson Address of Applicant Springhill Date 07 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lester ArnoldNelson

Born at Springhill in the County of Cumberland

That Lester ArnoldNelson Whose Birth is sought to be registered was

born at Springhill Cumberland County on October 16, 1919

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

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