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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000118

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phyllis HarriettManuel Sex Female

Date of Birth September 14, 1923 Place of Birth ArmdaleCounty of Halifax

Name of Father Edgar Avery Manuel MAIDEN NAME of Mother Inez Mary Bezanson

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

Residence of Father when child was born Armdale Halifax Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Merchant Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Inez Manuel Address of Applicant Port Williams, Kings Co., NS Date 16 August 1950

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phyllis HarriettManuel

Born at Armdale in the County of Halifax

That Phyllis HarriettManuel Whose Birth is sought to be registered was

born at Armdale Halifax County on September 14, 1923

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

Being the mother of Phyllis Harriett Manuel is one fact I can prove she was born on September 14, 1923

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