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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000450

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruth Alma Arenburg Sex Female

Date of Birth August 28, 1920 Place of Birth Cambridge StationCounty of Kings

Name of Father Joseph LeRoy Arenburg MAIDEN NAME of Mother Flora  Seavy

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

Residence of Father when child was born Cambridge Station Present address of Father Berwick

Occupation of Father at Birth of child Farmer Place of birth of Father Coldbrook

Race Canadian Name and present address of Physician in attendance at birth dead

Signature of Applicant Ruth Alma Arenburg Address of Applicant Cambridge Station Date April 17, 1967

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruth Alma Arenburg

Born at Cambridge Station in the County of Kings

That Ruth Alma Arenburg Whose Birth is sought to be registered was

born at Cambridge Station Kings County on August 28, 1920

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

School Records Letter enclosed. Church Baptismal Records enclosed. Letter from Dr. H.E. Killam enclosed.

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