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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000495

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles CedricTanner Sex Male

Date of Birth December 15, 1923 Place of Birth Blue RocksCounty of Lunenburg

Name of Father Ralph Alfred Tanner MAIDEN NAME of Mother Nellie Magdeline Greek

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

Residence of Father when child was born Blue Rocks Lunenburg Co. Ns Present address of Father Stonehurst, Lunenburg Co., NS

Occupation of Father at Birth of child Fisherman Place of birth of Father Stonehurst, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant R. A. Tanner Address of Applicant Stonehurst, Lunenburg Co., NS Date 15 July 1974

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles CedricTanner

Born at Blue Rocks in the County of Lunenburg

That Charles CedricTanner Whose Birth is sought to be registered was

born at Blue Rocks Lunenburg County on December 15, 1923

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

By knowledge of father and substantiated by baptismal certificate.

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