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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000078

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Asie WalterAtwell Sex Male

Date of Birth December 12, 1923 Place of Birth WatervilleCounty of Kings

Name of Father Walter Martin Atwell MAIDEN NAME of Mother Dorthy May Thompson

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

Residence of Father when child was born Cuba Present address of Father Kentville, Kings Co., NS

Occupation of Father at Birth of child Fireman Place of birth of Father Black River, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hugh A. Atwell Address of Applicant Kentville, Kings Co., NS Date 23 September 1948

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Asie WalterAtwell

Born at Waterville in the County of Kings

That Asie WalterAtwell Whose Birth is sought to be registered was

born at Waterville Kings County on December 12, 1923

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

That I am the above mentioned father (signed Walter M. Atwell)

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