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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000074

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nellie MarieBarkhouse Sex Female

Date of Birth September 29, 1923 Place of Birth Martins PointCounty of Lunenburg

Name of Father William Barkhouse MAIDEN NAME of Mother Emily Louise Miller

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

Residence of Father when child was born Martins Point Lunenburg Co. Ns Present address of Father Martins Point, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Martins Point, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Emily Louise Barkhouse Address of Applicant Martins Point, Lunenburg Co., NS Date 16 July 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nellie MarieBarkhouse

Born at Martins Point in the County of Lunenburg

That Nellie MarieBarkhouse Whose Birth is sought to be registered was

born at Martins Point Lunenburg County on September 29, 1923

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

I am the mother of Nellie Marie Barkhouse

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