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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000468

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of ReginaldPhillips Sex Male

Date of Birth October 29, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Edward Phillips MAIDEN NAME of Mother Pearl Helen Connors

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

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

Occupation of Father at Birth of child Place of birth of Father Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Reginald R. Phillips Address of Applicant 9 Magee Avenue, Moncton, NB Date 1 November 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of ReginaldPhillips

Born at Halifax in the County of Halifax

That ReginaldPhillips Whose Birth is sought to be registered was

born at Halifax Halifax County on October 29, 1924

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

That I was present at the home of Edward Phillips on the day the child was born and delivered some harness for Phillips horses and saw the newly born baby, who I later knew as Reginald Phillips

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