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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000596

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phoebe ElizabethKnox Sex Female

Date of Birth August 12, 1922 Place of Birth DominionCounty of Cape Breton

Name of Father Russell Knox MAIDEN NAME of Mother Gladys Lewis Wilton

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

Residence of Father when child was born Canada Present address of Father Deceased

Occupation of Father at Birth of child Clerk Place of birth of Father Canada

Race Name and present address of Physician in attendance at birth

Signature of Applicant Phoebe Knox Verzello Address of Applicant 200 Rainier Drive South, San Francisco, California Date 25 June 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phoebe ElizabethKnox

Born at Dominion in the County of Cape Breton

That Phoebe ElizabethKnox Whose Birth is sought to be registered was

born at Dominion Cape Breton County on August 12, 1922

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

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