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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000639

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 13, 1924 Place of Birth AuburnCounty of Kings

Name of Father George Evans Hatt MAIDEN NAME of Mother Mary Estalla Comeau

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

Residence of Father when child was born Auburn, Kings Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Raleigh Products Dealer Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Phyllis LaVaughn Atwell Address of Applicant Box 311, Annapolis Royal, Annapolis Co., NS Date 27 February 1979

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Auburn in the County of Kings

That Phyllis LavaughnHatt Whose Birth is sought to be registered was

born at Auburn Kings County on August 13, 1924

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

Phyllis Lavaughn Hatt is the daughter of my sister Mary Estalla Comeau, and I assisted Doctor Devine in the delivery of the child on or about the 13th day of August, 1924 as is more fully stated in my statutory declaration, herein enclosed

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