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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500172

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Philomen AlbertLeFurgey Sex Female

Date of Birth December 7, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Calvin LeFurgey MAIDEN NAME of Mother Beatrice Jolly

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

Residence of Father when child was born Amherst Present address of Father 19 Park St.

Occupation of Father at Birth of child Labourer Place of birth of Father Moncton, NB

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

Signature of Applicant Beatrice LeFurgey Address of Applicant 19 Park St., Amherst Date 23 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Philomen AlbertLeFurgey

Born at Amherst in the County of Cumberland

That Philomen AlbertLeFurgey Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 7, 1919

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

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