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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700524

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ArthurBramwell Sex Male

Date of Birth October 22, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Bramwell MAIDEN NAME of Mother Ellen Ann Johnson

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

Residence of Father when child was born Glace Bay Present address of Father Dominion No. 4

Occupation of Father at Birth of child Miner Place of birth of Father West Leigh, England

Race Name and present address of Physician in attendance at birth Mrs. J.J. Campbell, nurse

Signature of Applicant William Bramwell Address of Applicant Dominion No. 4, Glace Bay Date 12 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of ArthurBramwell

Born at Glace Bay in the County of Cape Breton

That ArthurBramwell Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on October 22, 1919

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

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