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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100110

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Clyde LenleyVeinot Sex

Date of Birth March 22, 1920 Place of Birth NewburneCounty of Lunenburg

Name of Father Hoshea Veinot MAIDEN NAME of Mother Nora Joudrey

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Clyde L. Veinot Address of Applicant Hatfield Point, Kings Co., NB Date

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Clyde LenleyVeinot

Born at Newburne in the County of Lunenburg

That Clyde LenleyVeinot Whose Birth is sought to be registered was

born at Newburne Lunenburg County on March 22, 1920

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

Baptismal Certificate, Surname from parents marriage - 14-02-011884

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