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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000837

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 15, 1924 Place of Birth Blue RocksCounty of Lunenburg

Name of Father Leaman C. Frittenburg MAIDEN NAME of Mother Julie Tanner

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

Residence of Father when child was born Blue Rocks Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Blue Rocks

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Phyllis E. Tanner Address of Applicant Blue Rocks Date December 20, 1985

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Blue Rocks in the County of Lunenburg

That Phyllis ElizabethFrittenburg Whose Birth is sought to be registered was

born at Blue Rocks Lunenburg County on August 15, 1924

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

Certificate of Baptism (Copy of which is attached hereto) and celebration of birthday on the 15th day of August in each of every year since I can remember. Record appears in Family Bible (Copy of Page from Bible attached hereto)

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