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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500111

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sara GertrudeBent Sex Female

Date of Birth November 30, 1919 Place of Birth OxfordCounty of Cumberland

Name of Father Frank Forman Bent MAIDEN NAME of Mother Mable Anna Trueman

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

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

Occupation of Father at Birth of child Dental Surgeon Place of birth of Father River Philip

Race Name and present address of Physician in attendance at birth Dr. J.R. Gilroy

Signature of Applicant Frank Forman Bent Address of Applicant Oxford Date 24 April 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sara GertrudeBent

Born at Oxford in the County of Cumberland

That Sara GertrudeBent Whose Birth is sought to be registered was

born at Oxford Cumberland County on November 30, 1919

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

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