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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500247

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phylis LillieKendrick Sex Female

Date of Birth December 6, 1919 Place of Birth ParrsboroCounty of Cumberland

Name of Father Thomas Edward Kendrick MAIDEN NAME of Mother Pearl Eliza Jinks

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

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

Occupation of Father at Birth of child Stevedore Place of birth of Father Parrsboro

Race Name and present address of Physician in attendance at birth Dr. Jeffers

Signature of Applicant Pearl Eliza Kendricks Address of Applicant Parrsboro Date 27 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phylis LillieKendrick

Born at Parrsboro in the County of Cumberland

That Phylis LillieKendrick Whose Birth is sought to be registered was

born at Parrsboro Cumberland County on December 6, 1919

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

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