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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93602673

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Perley BernardWelch Sex Male

Date of Birth September 20, 1906 Place of Birth Jubilee Mines, MaccanCounty of Cumberland

Name of Father Charles Tupper Welch MAIDEN NAME of Mother Francis Rosetta Purdy

Residence of Father when child was born Jubilee Mines, Maccan Present address of Father Upper Economy

Occupation of Father at Birth of child Farmer and Lumberman Place of birth of Father Upper Economy

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

Signature of Applicant Francis Rosetta Welch Address of Applicant Upper Economy Date 28 May 1928

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Perley BernardWelch

Born at Jubilee Mines, Maccan in the County of Cumberland

That Perley BernardWelch Whose Birth is sought to be registered was

born at Jubilee Mines, Maccan Cumberland County on September 20, 1906

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

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