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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100001

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EvaPelly Sex Female

Date of Birth July 20, 1922 Place of Birth GuysboroughCounty of Guysborough

Name of Father James Pelly MAIDEN NAME of Mother Laura Pelly

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

Residence of Father when child was born Guysborough Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Guysborough

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eva H. Scott (nee Eva pelly) Address of Applicant 82 Langarth Street West, London, Ontario Date 23 November 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EvaPelly

Born at Guysborough in the County of Guysborough

That EvaPelly Whose Birth is sought to be registered was

born at Guysborough Guysborough County on July 20, 1922

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

I am the sister of Eva Pelly and am about 6 years her senior. Our Mother told me my sisters date and place of birth to be July 20, 1922 in Guysborough. The certificate of baptism is in error as my sister was not born and baptized in the same year, namely 1922. Her birth was always celebrated on July 20 and I always knew her to be of the age indicated by a date of birth in 1922. (signed Nina Elizabeth McPherson)

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