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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000696

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frederick AngusMannette Sex Male

Date of Birth October 4, 1923 Place of Birth DartmouthCounty of Halifax

Name of Father Henry Mannette MAIDEN NAME of Mother Laura M. McKay

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

Residence of Father when child was born Dartmouth Halifax Co. Ns Present address of Father Dartmouth, Halifax Co., NS

Occupation of Father at Birth of child Dartmouth Ferry Place of birth of Father Porters Lake, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant F. A. Mannette Address of Applicant 298 Jane Street, Apr. 508, Toronto, Ontario Date 30 March 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frederick AngusMannette

Born at Dartmouth in the County of Halifax

That Frederick AngusMannette Whose Birth is sought to be registered was

born at Dartmouth Halifax County on October 4, 1923

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

As told by my parents

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