note: transcription publicly contributed - please contact us with comments, errors or omisions

PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000250

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Maxwell ChurchillRafuse Sex Male

Date of Birth March 24, 1922 Place of Birth MaplewoodCounty of Lunenburg

Name of Father Frank Ross Rafuse MAIDEN NAME of Mother Sadie May Falkenham

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

Residence of Father when child was born Parkdale, Lunenburg Present address of Father Maplewood, Lunenburg

Occupation of Father at Birth of child Farmer Place of birth of Father Parkdale, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Sadie Rafuse Address of Applicant Parkdale, Barss' Corner, Lunenburg Date 10 April 1922

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maxwell ChurchillRafuse

Born at Maplewood in the County of Lunenburg

That Maxwell ChurchillRafuse Whose Birth is sought to be registered was

born at Maplewood Lunenburg County on March 24, 1922

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

Keyword Search looks for the "term" (one word or number works best) you type throughout the whole record. It is less accurate than the advanced search but it does let you search for age, religion, mother's maiden name, etc. if transcribed.