Male Birth Registration: Year: 1921 number: 99000560
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000560
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Earl CliffordWentzell Sex Male
Date of Birth May 30, 1921 Place of Birth Upper BranchCounty of Lunenburg
Name of Father MAIDEN NAME of Mother Florence Wentzell
Were the Parents married at the time of the Birth? No
Residence of Father when child was born Present address of Father
Occupation of Father at Birth of child Place of birth of Father
Race German Name and present address of Physician in attendance at birth Dr. Rafuse
Signature of Applicant Earl C. Wentzell Address of Applicant RR5 Bridgewater Date August 5, 1974
Relationship of Applicant to child Same Person
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Earl CliffordWentzell
Born at Upper Branch in the County of Lunenburg
That Earl CliffordWentzell Whose Birth is sought to be registered was
born at Upper Branch Lunenburg County on May 30, 1921
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Census Record Record of Upper Branch School Affadavit of Clara E. Wentzell
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=416953
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