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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100261

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William BrentonPhillips Sex Male

Date of Birth September 26, 1920 Place of Birth North East MargareeCounty of Inverness

Name of Father Roy Wendle Phillips MAIDEN NAME of Mother Margaret Matilda Jane Burtoon

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

Residence of Father when child was born N.E. Margaree Present address of Father deceased

Occupation of Father at Birth of child carpenter Place of birth of Father N.E. Margaree

Race Name and present address of Physician in attendance at birth

Signature of Applicant William B. Phillips Address of Applicant N.E. Margaree Date 22 May 1984

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William BrentonPhillips

Born at North East Margaree in the County of Inverness

That William BrentonPhillips Whose Birth is sought to be registered was

born at North East Margaree Inverness County on September 26, 1920

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

church records

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