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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000661

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Franklin EdwardLohnes Sex Male

Date of Birth June 28, 1921 Place of Birth Cherry HillCounty of Lunenburg

Name of Father Freeman Lohnes MAIDEN NAME of Mother Mabel Teek

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

Residence of Father when child was born Cherry Hill Present address of Father Cherry Hill

Occupation of Father at Birth of child Fisherman Place of birth of Father Cherry Hill

Race Name and present address of Physician in attendance at birth

Signature of Applicant Gardelene Bollam Address of Applicant Cherry Hill Date December 9, 1976

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Franklin EdwardLohnes

Born at Cherry Hill in the County of Lunenburg

That Franklin EdwardLohnes Whose Birth is sought to be registered was

born at Cherry Hill Lunenburg County on June 28, 1921

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

Baptismal Certificate

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