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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90700056

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wentworth AlfonsoTanner Sex Male

Date of Birth February 14, 1921 Place of Birth 67 Victoria Road, HalifaxCounty of Halifax

Name of Father Wentworth B. Tanner MAIDEN NAME of Mother Eunice Christina Sherrett

Residence of Father when child was born 67 Victoria Road, Halifax, NS Present address of Father Louisbourg, Cape Breton Co., NS

Occupation of Father at Birth of child Decorator Place of birth of Father Louisbourg, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Eunice C. Tanner Address of Applicant 2046 Alldis Street, Stockport, Cheshire, England Date 1 August 1936

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wentworth AlfonsoTanner

Born at 67 Victoria Road, Halifax in the County of Halifax

That Wentworth AlfonsoTanner Whose Birth is sought to be registered was

born at 67 Victoria Road, Halifax Halifax County on February 14, 1921

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

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