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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500020

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vaughan RossLong Sex Male

Date of Birth October 24, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Thomas Edward Long MAIDEN NAME of Mother Alice Maud McArthur

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

Residence of Father when child was born Amherst Present address of Father 19 Robie St.

Occupation of Father at Birth of child Traveller for extracts and spices Place of birth of Father New Brunswick

Race Name and present address of Physician in attendance at birth Dr. Ross Millar

Signature of Applicant Thomas Edward Long Address of Applicant 19 Robie St. Date 17 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vaughan RossLong

Born at Amherst in the County of Cumberland

That Vaughan RossLong Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 24, 1919

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

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