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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000948

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frank MorganRudolph Sex Male

Date of Birth May 11, 1920 Place of Birth BridgewaterCounty of Lunenburg

Name of Father John Henry Rudolph MAIDEN NAME of Mother Myrtle Nellie Morgan

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

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

Occupation of Father at Birth of child Agent for Canadian National Railway Place of birth of Father Upper LaHave

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frank M. Rudolph Address of Applicant Bridgewater Date January 4, 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frank MorganRudolph

Born at Bridgewater in the County of Lunenburg

That Frank MorganRudolph Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on May 11, 1920

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

Certificate of Baptism previously forwarded to your office.

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