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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000386

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vincent WilfredTanner Sex Male

Date of Birth September 7, 1921 Place of Birth Blue RocksCounty of Lunenburg

Name of Father Beverly Tanner MAIDEN NAME of Mother Sophia Lorine Knickle

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

Residence of Father when child was born Blue Rocks Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Blue Rocks

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

Signature of Applicant Vincent W. Tanner Address of Applicant Beaverbank Date July 11, 1968

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vincent WilfredTanner

Born at Blue Rocks in the County of Lunenburg

That Vincent WilfredTanner Whose Birth is sought to be registered was

born at Blue Rocks Lunenburg County on September 7, 1921

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

Certificate of baptism

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