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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000973

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Audrey TeresaBuote Sex Female

Date of Birth August 1, 1920 Place of Birth DartmouthCounty of Halifax

Name of Father Edward Buote MAIDEN NAME of Mother Florence Campbell

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alan J. Buote Address of Applicant Porters Lake Date March 23, 1979

Relationship of Applicant to child brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Audrey TeresaBuote

Born at Dartmouth in the County of Halifax

That Audrey TeresaBuote Whose Birth is sought to be registered was

born at Dartmouth Halifax County on August 1, 1920

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

Baptismal Certificate and Marriage Extract

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