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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91500300

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rosamond EdithBent Sex Female

Date of Birth November 9, 1923 Place of Birth OutramCounty of Annapolis

Name of Father William M. Bent MAIDEN NAME of Mother Effie Mabel O'Neal

Residence of Father when child was born Outram, Annapolis Co., NS Present address of Father Lawrencetown, Annapolis Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Outram, Annapolis Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant William M. Bent Address of Applicant Lawrencetown, Annapolis Co., NS Date 16 September 1940

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rosamond EdithBent

Born at Outram in the County of Annapolis

That Rosamond EdithBent Whose Birth is sought to be registered was

born at Outram Annapolis County on November 9, 1923

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

Since I am the father of the said Rosamond Edith Bent, the place and date of her birth are to me matters of personal knowledge. I was present in the home when the said Rosamond Edith Bent was born.

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