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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900567

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mildred MaxoneBulmer Sex Female

Date of Birth February 22, 1921 Place of Birth AmherstCounty of Cumberland

Name of Father Fredrick Cecil Bulmer MAIDEN NAME of Mother Ida Blanche Patton

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

Residence of Father when child was born 3 Senior Street, Amherst, Cumberland Co., NS Present address of Father Cavell, Saskatchewan

Occupation of Father at Birth of child Carpenter Place of birth of Father Williamsdale, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant F. C. Bulmer Address of Applicant Cavell, Saskatchewan Date 15 June 1945

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mildred MaxoneBulmer

Born at Amherst in the County of Cumberland

That Mildred MaxoneBulmer Whose Birth is sought to be registered was

born at Amherst Cumberland County on February 22, 1921

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

Father

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