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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000434

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Pauline MarionBent Sex Female

Date of Birth April 30, 1923 Place of Birth Youngs CoveCounty of Annapolis

Name of Father Lawrence T. Bent MAIDEN NAME of Mother Hilda Vanblarcom

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

Residence of Father when child was born Youngs Cove Annapolis Co. Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Pauline Marion Bend Hudson Address of Applicant RR #1, Hampton, Annapolis Co., NS Date 13 May 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Pauline MarionBent

Born at Youngs Cove in the County of Annapolis

That Pauline MarionBent Whose Birth is sought to be registered was

born at Youngs Cove Annapolis County on April 30, 1923

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

From census record and of August 1940 National Registration as enclosed.

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