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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90501711

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phyllis ElizabethTreen Sex Female

Date of Birth May 5, 1920 Place of Birth MalagashCounty of Cumberland

Name of Father Wilfrid Laurier Treen MAIDEN NAME of Mother Edith Curry Jane Kirby

Residence of Father when child was born Malagash, Cumberland County Present address of Father Lumby, British Columbia

Occupation of Father at Birth of child Road Foreman & Government Surveyor Place of birth of Father Malagash, Cumberland County

Race British Name and present address of Physician in attendance at birth Dr. Dan Murray, Tatamagouche

Signature of Applicant W. L. Treen Address of Applicant Lumby, BC Date 20 June 1939

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phyllis ElizabethTreen

Born at Malagash in the County of Cumberland

That Phyllis ElizabethTreen Whose Birth is sought to be registered was

born at Malagash Cumberland County on May 5, 1920

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

I am the father and was present when the child was born.

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