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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000958

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Gerald BernardKelly Sex Male

Date of Birth March 7, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father John Clifford Kelly MAIDEN NAME of Mother Whelemina Walsh

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gerald B. Kelly Address of Applicant 3199 Glendale Rd. Halifax Date February 8, 1990

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Gerald BernardKelly

Born at Halifax in the County of Halifax

That Gerald BernardKelly Whose Birth is sought to be registered was

born at Halifax Halifax County on March 7, 1924

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

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