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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000966

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Phyllis MargueriteRichards Sex Female

Date of Birth September 2, 1923 Place of Birth HalifaxCounty of Halifax

Name of Father Phillip Richards MAIDEN NAME of Mother Greta May Dillon

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

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

Occupation of Father at Birth of child Place of birth of Father Chezzetcook, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Judith Purcell Address of Applicant 1200 Tower Road, Apt 704, Halifax, NS Date 3 July 1986

Relationship of Applicant to child Niece

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Phyllis MargueriteRichards

Born at Halifax in the County of Halifax

That Phyllis MargueriteRichards Whose Birth is sought to be registered was

born at Halifax Halifax County on September 2, 1923

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

Baptismal

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