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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000297

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Armina HelenaMcCullough Sex Female

Date of Birth February 7, 1921 Place of Birth EastonCounty of Digby

Name of Father Sibrey Hallet McCullough MAIDEN NAME of Mother  Mullen

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

Residence of Father when child was born Easton Present address of Father Riverdale

Occupation of Father at Birth of child Labourer Place of birth of Father Riverdale

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

Signature of Applicant Sibrey McCullough Address of Applicant Riverdale Date July 11, 1921

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Armina HelenaMcCullough

Born at Easton in the County of Digby

That Armina HelenaMcCullough Whose Birth is sought to be registered was

born at Easton Digby County on February 7, 1921

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

I am the father of Armina Helena McCullough School record and national registration record

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