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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000588

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edgar RobertWentzell Sex Male

Date of Birth March 22, 1923 Place of Birth Midville BranchCounty of Lunenburg

Name of Father R. Clyde Wentzell MAIDEN NAME of Mother Flossie Beck

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

Residence of Father when child was born Midville Branch Lunenburg Co. Ns Present address of Father West Northfield, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Flossie Wentzell Address of Applicant RR #2, Bridgewater, Lunenburg Co., NS Date 22 December 1976

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edgar RobertWentzell

Born at Midville Branch in the County of Lunenburg

That Edgar RobertWentzell Whose Birth is sought to be registered was

born at Midville Branch Lunenburg County on March 22, 1923

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

Parents

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