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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500084

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frances IreneMcCulley Sex Female

Date of Birth October 23, 1919 Place of Birth Wards BrookCounty of Cumberland

Name of Father Morton E McCulley MAIDEN NAME of Mother Alida J McCulley

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

Residence of Father when child was born Wards Brook Present address of Father

Occupation of Father at Birth of child Labourer Place of birth of Father Wards Brook

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

Signature of Applicant Alida J. McCulley Address of Applicant Wards Brook Date 29 October 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frances IreneMcCulley

Born at Wards Brook in the County of Cumberland

That Frances IreneMcCulley Whose Birth is sought to be registered was

born at Wards Brook Cumberland County on October 23, 1919

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

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