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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

92800187

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 5, 1920 Place of Birth BridgewaterCounty of Lunenburg

Name of Father William Frank MAIDEN NAME of Mother Katie Beck

Residence of Father when child was born Bridgewater Present address of Father Bridgewater

Occupation of Father at Birth of child Labourer Place of birth of Father Bridgewater

Race White Name and present address of Physician in attendance at birth Dr. W.W. Barraclough

Signature of Applicant Katie Frank Address of Applicant Bridgewater Date December 8, 1943

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Bridgewater in the County of Lunenburg

That Phyllis KathleenFrank Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on December 5, 1920

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

That I am her mother

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