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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000351

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Velda GertrudeCarter Sex Female

Date of Birth October 24, 1921 Place of Birth AmherstCounty of Cumberland

Name of Father William Leslie Carter MAIDEN NAME of Mother Theresa May Tower

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

Residence of Father when child was born 88 Academy St. Amherst Present address of Father 129 Dominion St. Moncton, New Brunswick

Occupation of Father at Birth of child Steel Worker Place of birth of Father Bangor, Maine, USA

Race English Name and present address of Physician in attendance at birth Dr. MacIntosh

Signature of Applicant Theresa May Carter Address of Applicant 129 Dominion St. Moncton, New Brunswick Date February 17, 1966

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Velda GertrudeCarter

Born at Amherst in the County of Cumberland

That Velda GertrudeCarter Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 24, 1921

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

I was present at the time of the birth of my daughter and we have family records and school records to prove such birth.

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