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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700426

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nita MyrtleBishop Sex Female

Date of Birth October 25, 1921 Place of Birth BishopvilleCounty of Kings

Name of Father Ernest Lamont Bishop MAIDEN NAME of Mother Lola Fern Caldwell

Residence of Father when child was born Bishopville, Kings Co., NS Present address of Father Wolfville, Kings Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Bishopville, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Harold Bishop Address of Applicant Wolfville, Kings Co., NS Date 3 June 1943

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nita MyrtleBishop

Born at Bishopville in the County of Kings

That Nita MyrtleBishop Whose Birth is sought to be registered was

born at Bishopville Kings County on October 25, 1921

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

Records kept in the home by mother and father and also being her brother.

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