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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100026

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Abner AugustaAtwood Sex Male

Date of Birth May 22, 1921 Place of Birth The HawkCounty of Shelburne

Name of Father Samuel Atwood MAIDEN NAME of Mother Adva Nickerson

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

Residence of Father when child was born The Hawk Present address of Father The Hawk

Occupation of Father at Birth of child Fisherman Place of birth of Father The Hawk

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gail Nickerson Address of Applicant Clarks Harbour Date August 15, 1983

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Abner AugustaAtwood

Born at The Hawk in the County of Shelburne

That Abner AugustaAtwood Whose Birth is sought to be registered was

born at The Hawk Shelburne County on May 22, 1921

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

Extract from Marriage Census Report

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