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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000826

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Velma BeatriceGould Sex

Date of Birth January 14, 1920 Place of Birth CambridgeCounty of Kings

Name of Father George Gould MAIDEN NAME of Mother Emma Elger

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

Residence of Father when child was born Cambridge Present address of Father deceased

Occupation of Father at Birth of child Cook Place of birth of Father Kings County

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ronald D. Thornton Address of Applicant 9 Fernwood Road, Halifax Date April 7, 1977

Relationship of Applicant to child Son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Velma BeatriceGould

Born at Cambridge in the County of Kings

That Velma BeatriceGould Whose Birth is sought to be registered was

born at Cambridge Kings County on January 14, 1920

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

Census Record Marriage Record School Record

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