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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500086

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Daniel FullertonRushton Sex Male

Date of Birth November 4, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Daniel Berry Rushton MAIDEN NAME of Mother Mary Amelia Harrison

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

Residence of Father when child was born Amherst Present address of Father 10 Christie St.

Occupation of Father at Birth of child Painter Place of birth of Father Nova Scotia

Race Name and present address of Physician in attendance at birth Dr. B.E. Goodwin

Signature of Applicant Daniel Berry Rushton Address of Applicant 10 Christie St., Amherst Date 10 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Daniel FullertonRushton

Born at Amherst in the County of Cumberland

That Daniel FullertonRushton Whose Birth is sought to be registered was

born at Amherst Cumberland County on November 4, 1919

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

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