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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000409

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frank Rex ClatenHirtle Sex Male

Date of Birth June 5, 1924 Place of Birth LaplandCounty of Lunenburg

Name of Father Elizah George Hirtle MAIDEN NAME of Mother Alice Zwicker

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

Residence of Father when child was born Lapland, Lunenburg Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Self employed Place of birth of Father Lapland, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frank Rex Claten Hirtle Address of Applicant RR #6, Bridgewater, Lunenburg Co., NS Date 5 December 1973

Relationship of Applicant to child Son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frank Rex ClatenHirtle

Born at Lapland in the County of Lunenburg

That Frank Rex ClatenHirtle Whose Birth is sought to be registered was

born at Lapland Lunenburg County on June 5, 1924

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

Information received from my mother. Mrs. Elizah Hirtle

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