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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000224

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Raymond ArnoldPentz Sex Male

Date of Birth April 20, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father John Robert Pentz MAIDEN NAME of Mother Sarah Cox

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

Residence of Father when child was born Mount Uniacke Hants Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Mount Uniacke, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Raymond Arnold Pentz Address of Applicant Mount Uniacke, Hants Co., NS Date 6 August 1957

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Raymond ArnoldPentz

Born at Halifax in the County of Halifax

That Raymond ArnoldPentz Whose Birth is sought to be registered was

born at Halifax Halifax County on April 20, 1923

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

Family knowledge Baptism certificate

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