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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000086

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Patrick Bedell JamesPhillips Sex Male

Date of Birth April 15, 1924 Place of Birth Cole HarbourCounty of Halifax

Name of Father Charles Phillips MAIDEN NAME of Mother Margaret Cope

Residence of Father when child was born Cole Harbour, Halifax Co., NS Present address of Father Cole Harbour, Halifax Co., NS

Occupation of Father at Birth of child Farming Place of birth of Father Elmsdale, Hants Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Margaret Phillips Address of Applicant PO Box 453, Dartmouth, NS Date 13 March 1943

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Patrick Bedell JamesPhillips

Born at Cole Harbour in the County of Halifax

That Patrick Bedell JamesPhillips Whose Birth is sought to be registered was

born at Cole Harbour Halifax County on April 15, 1924

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

I am his mother

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