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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100032

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 31, 1923 Place of Birth East ChesterCounty of Lunenburg

Name of Father   MAIDEN NAME of Mother Lillian Grace Stevens

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lillian Grace Hume Address of Applicant RR #1, Chester, Lunenburg Co., NS Date 6 May 1988

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at East Chester in the County of Lunenburg

That Phyllis PaulineStevens Whose Birth is sought to be registered was

born at East Chester Lunenburg County on December 31, 1923

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

I am the mother of Phyllis Pauline Publicover

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