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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700570

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ida LavertaFrank Sex Female

Date of Birth January 24, 1922 Place of Birth MaplewoodCounty of Lunenburg

Name of Father Willis Oran Frank MAIDEN NAME of Mother Rhetty Regina Wentzell

Residence of Father when child was born Maplewood, Lunenburg Co., NS Present address of Father Maplewood, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Newburn, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Willis O. Frank Address of Applicant Maplewood, Lunenburg Co., NS Date 17 April 1943

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ida LavertaFrank

Born at Maplewood in the County of Lunenburg

That Ida LavertaFrank Whose Birth is sought to be registered was

born at Maplewood Lunenburg County on January 24, 1922

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

I am her father and was present at the birth of my daughter Ida Laverta Frank. Also my mother, Mrs. Jane Frank of Newburn was there as midwife.

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