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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000597

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Beulah WaldonSproule Sex Female

Date of Birth October 30, 1921 Place of Birth Upper ClementsCounty of Annapolis

Name of Father Aciel Fletcher Sproule MAIDEN NAME of Mother Harriett Belinda Graves

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

Residence of Father when child was born Upper Clements Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Beulah Waldon Sproule Newsome Address of Applicant Digby Date June 19, 1975

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Beulah WaldonSproule

Born at Upper Clements in the County of Annapolis

That Beulah WaldonSproule Whose Birth is sought to be registered was

born at Upper Clements Annapolis County on October 30, 1921

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

The following entry in the Family Bible Beulah Waldon Sproule Born Oct. 30, 1921

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