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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91400073

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ruby JeanBennett Sex Female

Date of Birth April 18, 1922 Place of Birth KentvilleCounty of Kings

Name of Father Fred Bennett MAIDEN NAME of Mother Elizabeth Ann Melvin

Residence of Father when child was born Kentville, Kings Co., NS Present address of Father Truro, Colchester Co., NS

Occupation of Father at Birth of child Carpenter Place of birth of Father Canning, Kings Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lewis Stanley Bennett Address of Applicant Kentville, Kings Co., NS Date 10 March 1942

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ruby JeanBennett

Born at Kentville in the County of Kings

That Ruby JeanBennett Whose Birth is sought to be registered was

born at Kentville Kings County on April 18, 1922

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

I am her brother and five years her senior and was present at the home on the date of her birth.

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