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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100089

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Audrey LovineErnst Sex

Date of Birth November 30, 1920 Place of Birth BlockhouseCounty of Lunenburg

Name of Father Harold J. Ernst MAIDEN NAME of Mother Regina Demone

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Jennie Joudrey Address of Applicant Blockhouse Date October 6, 1980

Relationship of Applicant to child Sister

AFFIDAVIT

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

Born at Blockhouse in the County of Lunenburg

That Audrey LovineErnst Whose Birth is sought to be registered was

born at Blockhouse Lunenburg County on November 30, 1920

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

Family (sister) Birth reg. at church in Mahone Bay

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