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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100045

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of AubreySutherland Sex Male

Date of Birth June 7, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father Isaac M. Sutherland MAIDEN NAME of Mother Jessie Waugh

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

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Carpenter Place of birth of Father East River

Race Name and present address of Physician in attendance at birth

Signature of Applicant Aubrey Sutherland Address of Applicant Chester Basin Date February 20, 1980

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of AubreySutherland

Born at New Glasgow in the County of Pictou

That AubreySutherland Whose Birth is sought to be registered was

born at New Glasgow Pictou County on June 7, 1920

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

1. Extract from Bible 2. Extract from Marriage 3. Doctor's Certificate 4. Insurance Certificate

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