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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000162

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles TupperDeWolfe Sex Male

Date of Birth January 31, 1921 Place of Birth PurgwashCounty of Cumberland

Name of Father William McCully DeWolfe MAIDEN NAME of Mother Lola Maude Willett

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

Residence of Father when child was born Pugwash Present address of Father dead

Occupation of Father at Birth of child Farmer Place of birth of Father Pugwash

Race French English Name and present address of Physician in attendance at birth Dr. MacIntosh

Signature of Applicant Lola DeWolfe Address of Applicant Plaster Rock, New Brunswick Date February 22, 1952

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles TupperDeWolfe

Born at Purgwash in the County of Cumberland

That Charles TupperDeWolfe Whose Birth is sought to be registered was

born at Purgwash Cumberland County on January 31, 1921

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

That I am the Mother of Charles Tupper DeWolfe (Census report and supporting certification plus school record)

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