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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000111

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Henry JohnKelly Sex Male

Date of Birth October 3, 1922 Place of Birth KentvilleCounty of Kings

Name of Father Walter Seymour Kelly MAIDEN NAME of Mother Harriet Essea Myles

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

Residence of Father when child was born Kentville, Kings Present address of Father Kentville, Kings

Occupation of Father at Birth of child Painter Place of birth of Father Grand Pre, Kings

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ruth L. Inglis Address of Applicant 360 Main Street, Kentville, Kings Date 11 January 1950

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Henry JohnKelly

Born at Kentville in the County of Kings

That Henry JohnKelly Whose Birth is sought to be registered was

born at Kentville Kings County on October 3, 1922

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

I am an older sister of Henry John Kelly, 8 years his senior. I recall the event. Family bible record.

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