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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000780

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Fulton TheodoreMacPhee Sex Male

Date of Birth May 7, 1923 Place of Birth Shubenacadie, East HantsCounty of Hants

Name of Father Howard MacPhee MAIDEN NAME of Mother Hattie Isabelle Tanner

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

Residence of Father when child was born Shubenacadie Hants Co. Ns Present address of Father Shubenacadie, Hants Co., NS

Occupation of Father at Birth of child Place of birth of Father North Salem, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hattie MacPhee Address of Applicant Shubenacadie, Hants Co., NS Date 28 May 1928

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Fulton TheodoreMacPhee

Born at Shubenacadie, East Hants in the County of Hants

That Fulton TheodoreMacPhee Whose Birth is sought to be registered was

born at Shubenacadie, East Hants Hants County on May 7, 1923

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

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