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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000181

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Paul WesleyWambolt Sex Male

Date of Birth January 7, 1920 Place of Birth Port MedwayCounty of Queens

Name of Father Kenneth Wambolt MAIDEN NAME of Mother Idella Croft

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

Residence of Father when child was born Port Medway Present address of Father Port Medway

Occupation of Father at Birth of child Farmer Place of birth of Father Danesville

Race German Name and present address of Physician in attendance at birth J.P. Smith, M.D. deceased

Signature of Applicant Paul Wesley Wambolt Address of Applicant Port Medway Date March 25, 1952

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Paul WesleyWambolt

Born at Port Medway in the County of Queens

That Paul WesleyWambolt Whose Birth is sought to be registered was

born at Port Medway Queens County on January 7, 1920

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

That I am the father of Paul Wesley Wambolt and have a clear memory of his birth on the date above mentioned (Baptism certificate and school record)

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