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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000847

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Nellie NitaAtwell Sex Female

Date of Birth May 24, 1924 Place of Birth Black RockCounty of Kings

Name of Father Rueben Otis Atwell MAIDEN NAME of Mother Alice Amanda Nowlen

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

Residence of Father when child was born Black Rock Present address of Father dead

Occupation of Father at Birth of child Woodsman Place of birth of Father Black Rock

Race Name and present address of Physician in attendance at birth

Signature of Applicant Debra Moore Address of Applicant Wolfville Date August 27, 1986

Relationship of Applicant to child Friend

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Nellie NitaAtwell

Born at Black Rock in the County of Kings

That Nellie NitaAtwell Whose Birth is sought to be registered was

born at Black Rock Kings County on May 24, 1924

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

National Registration Records School Census

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