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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000607

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Russell EugeneBent Sex Male

Date of Birth May 8, 1923 Place of Birth AmherstCounty of Cumberland

Name of Father Walter David Bent MAIDEN NAME of Mother Emma Maude MacKay

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

Residence of Father when child was born Copp Avenue Amherst Cumberland Co. Ns Present address of Father Deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Russell Eugene Bent Address of Applicant 9 Academy Street, Amherst, Cumberland Co., NS Date 10 June 1977

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Russell EugeneBent

Born at Amherst in the County of Cumberland

That Russell EugeneBent Whose Birth is sought to be registered was

born at Amherst Cumberland County on May 8, 1923

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

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