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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000708

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Foster StephenMcCulloch Sex Male

Date of Birth December 8, 1922 Place of Birth NoelCounty of Hants

Name of Father Stephen Benjamin McCulloch MAIDEN NAME of Mother Alice Mae Conley

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

Residence of Father when child was born Noel, Hants Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Gormanville, Hants

Race Name and present address of Physician in attendance at birth

Signature of Applicant Foster Stephen McCulloch Address of Applicant Noel, Hants Date 21 October 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Foster StephenMcCulloch

Born at Noel in the County of Hants

That Foster StephenMcCulloch Whose Birth is sought to be registered was

born at Noel Hants County on December 8, 1922

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

Record of school registration, 1930. Census records of June 1, 1931 showing age of applicant as 8 years - census records of June 1941 showing age of applicant as 18 years. Cradle roll card from Noel United Church dated December 8, 1927 showing applicant as five years of age.

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