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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000557

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frances EllenGeldert Sex Female

Date of Birth April 5, 1923 Place of Birth LunenburgCounty of Lunenburg

Name of Father Dawson Wallace Geldert MAIDEN NAME of Mother Myrtle May Hebb

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

Residence of Father when child was born Lunenburg Ns Present address of Father Deceased

Occupation of Father at Birth of child Master Mariner Place of birth of Father Lunenburg, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frances Knudsen Address of Applicant Belleville, Ontario Date 19 February 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frances EllenGeldert

Born at Lunenburg in the County of Lunenburg

That Frances EllenGeldert Whose Birth is sought to be registered was

born at Lunenburg Lunenburg County on April 5, 1923

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

Mother of Applicant

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