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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000018

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nelson GeorgeMcCully Sex Male

Date of Birth October 8, 1924 Place of Birth Baxter's HarbourCounty of Kings

Name of Father George McCully MAIDEN NAME of Mother Alice J. Schofield

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

Residence of Father when child was born Baxter's Harbour, Kings Co., NS Present address of Father Baxter's Harbour, Kings Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Glenmount, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alice J. McCully Address of Applicant Baxter's Harbour, Kings Co., NS Date 23 February 1947

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nelson GeorgeMcCully

Born at Baxter's Harbour in the County of Kings

That Nelson GeorgeMcCully Whose Birth is sought to be registered was

born at Baxter's Harbour Kings County on October 8, 1924

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

From being his mother

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