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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000283

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Fern ChristolManthorne Sex Female

Date of Birth January 14, 1921 Place of Birth MiltonCounty of Queens

Name of Father Gilbert R. Manthorne MAIDEN NAME of Mother Phoebe Jane Robart

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

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

Occupation of Father at Birth of child Mill foreman Place of birth of Father Beach Meadows

Race English Name and present address of Physician in attendance at birth dead

Signature of Applicant Mrs. Phoebe Manthorne Address of Applicant Milton Date September 12, 1960

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Fern ChristolManthorne

Born at Milton in the County of Queens

That Fern ChristolManthorne Whose Birth is sought to be registered was

born at Milton Queens County on January 14, 1921

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

I am her mother School Census Records

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