Male Birth Registration: Year: 1923 number: 99000440
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000440
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Lawrence M.Bent Sex Male
Date of Birth April 10, 1923 Place of Birth BridgetownCounty of Annapolis
Name of Father MAIDEN NAME of Mother Rachel Bent
Were the Parents married at the time of the Birth? No
Residence of Father when child was born Present address of Father
Occupation of Father at Birth of child Place of birth of Father
Race Name and present address of Physician in attendance at birth
Signature of Applicant Lawrence Bent Address of Applicant RR #2, Lower Sackville, Halifax Co., NS Date June 1922
Relationship of Applicant to child Self
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Lawrence M.Bent
Born at Bridgetown in the County of Annapolis
That Lawrence M.Bent Whose Birth is sought to be registered was
born at Bridgetown Annapolis County on April 10, 1923
My knowledge of the fact and date of such Birth is based on the following Circumstances:
I am the applicant; also a notarized statement (record) from my place of birth accompanies this registration form.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=445868
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