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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600271

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 7, 1920 Place of Birth HalifaxCounty of Halifax

Name of Father Hallet N. Norman MAIDEN NAME of Mother Sarah Beck

Residence of Father when child was born Halifax Present address of Father Hartford, Connecticut, USA

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

Race Name and present address of Physician in attendance at birth Dr. C. S. Elliott

Signature of Applicant Reuben W. Beck Address of Applicant Halifax Date 20 February 1933

Relationship of Applicant to child Grandfather

AFFIDAVIT

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

Born at Halifax in the County of Halifax

That Phyllis RuthNorman Whose Birth is sought to be registered was

born at Halifax Halifax County on July 7, 1920

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

Church certificate

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