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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000558

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Hazel MaySelig Sex Female

Date of Birth September 14, 1924 Place of Birth StonehurstCounty of Lunenburg

Name of Father Hudson St. Clair Selig MAIDEN NAME of Mother Flora Selena Tanner

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

Residence of Father when child was born Stonehurst, Lunenburg Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Stonehurst, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hazel May (Selig) Knickle Address of Applicant RR #3. Lunenburg, Lunenburg Co., NS Date 20 October 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Hazel MaySelig

Born at Stonehurst in the County of Lunenburg

That Hazel MaySelig Whose Birth is sought to be registered was

born at Stonehurst Lunenburg County on September 14, 1924

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

Have been told by Mother and Father; have celebrated birthday since I could remember on September 14, 1924; Cradle Roll of St. Paul Church

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