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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000496

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mervyn RaySelig Sex Male

Date of Birth February 13, 1923 Place of Birth East CliffordCounty of Lunenburg

Name of Father Leo Aubrey Selig MAIDEN NAME of Mother Lahlia May Ells

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

Residence of Father when child was born East Clifford Lunenburg Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Pleasant River Mines, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mervyn Ray Selig Address of Applicant RR #5, Bridgewater, Lunenburg Co., NS Date 26 July 1974

Relationship of Applicant to child I am the child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mervyn RaySelig

Born at East Clifford in the County of Lunenburg

That Mervyn RaySelig Whose Birth is sought to be registered was

born at East Clifford Lunenburg County on February 13, 1923

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

I am his mother. Also we always have celebrated his birthday on February 13.

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