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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000051

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wilfred MoyleBruhm Sex Male

Date of Birth November 5, 1922 Place of Birth BridgewaterCounty of Lunenburg

Name of Father Maurice James Bruhm MAIDEN NAME of Mother Ida May Rhodenizer

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

Residence of Father when child was born Bridgewater, Lunenburg Present address of Father Bridgewater, Lunenburg

Occupation of Father at Birth of child ? or Truckman Place of birth of Father West Northfield, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ida May Bruhm Address of Applicant Bridgewater, Lunenburg Date 25 March 1948

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wilfred MoyleBruhm

Born at Bridgewater in the County of Lunenburg

That Wilfred MoyleBruhm Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on November 5, 1922

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

That I am the mother of Wilfred Moyle Bruhm

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