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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500082

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 22, 1919 Place of Birth Black RockCounty of Cumberland

Name of Father Mayford Phinney MAIDEN NAME of Mother Edith Mable Harrington

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

Residence of Father when child was born Black Rock Present address of Father

Occupation of Father at Birth of child Labourer Place of birth of Father Black Rock

Race Name and present address of Physician in attendance at birth Mrs. Henwood

Signature of Applicant Mayford Phinney Address of Applicant Black Rock Date 25 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruth MargaretPhinney

Born at Black Rock in the County of Cumberland

That Ruth MargaretPhinney Whose Birth is sought to be registered was

born at Black Rock Cumberland County on October 22, 1919

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

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