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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000259

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phyllis EleanorCanton Sex Female

Date of Birth March 31, 1921 Place of Birth AmherstCounty of Cumberland

Name of Father Frederick A. Canton MAIDEN NAME of Mother Edith Amelia Barkhouse

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

Residence of Father when child was born 12 Patterson St. Amherst Present address of Father 16 Russell St. Amherst

Occupation of Father at Birth of child Electrician Place of birth of Father England

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

Signature of Applicant Pauline C. Cole Address of Applicant Tatamagouche Date June 26, 1958

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phyllis EleanorCanton

Born at Amherst in the County of Cumberland

That Phyllis EleanorCanton Whose Birth is sought to be registered was

born at Amherst Cumberland County on March 31, 1921

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

Her Parents word. Certificate of Baptism Record contains in an envelope, kept in Family Bible

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