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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000588

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bernice RosannRhodenizer Sex Female

Date of Birth July 19, 1922 Place of Birth AuburndaleCounty of Lunenburg

Name of Father Isaac Rhodenizer MAIDEN NAME of Mother Jennie Hebb

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

Residence of Father when child was born Auburndale, Lunenburg Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Auburndale, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Bernice Rhodenizer Address of Applicant Box 572, Windsor, Hants Date 8 June 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bernice RosannRhodenizer

Born at Auburndale in the County of Lunenburg

That Bernice RosannRhodenizer Whose Birth is sought to be registered was

born at Auburndale Lunenburg County on July 19, 1922

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

I am the mother of Bernice Rosann Rhodenizer (signed Jennie Rhodenizer)

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