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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500254

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Oscar AdelbertFollette Sex Male

Date of Birth December 15, 1919 Place of Birth BrookvilleCounty of Cumberland

Name of Father Joseph Ashford Follette MAIDEN NAME of Mother Margaret Delle Shipley

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

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

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

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

Signature of Applicant Margaret Delle Follette Address of Applicant Brookville Date 15 December 1919

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Oscar AdelbertFollette

Born at Brookville in the County of Cumberland

That Oscar AdelbertFollette Whose Birth is sought to be registered was

born at Brookville Cumberland County on December 15, 1919

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

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