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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000919

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Maude BeatriceErnst Sex Female

Date of Birth January 1, 1921 Place of Birth Union SquareCounty of Lunenburg

Name of Father Amos Ernst MAIDEN NAME of Mother Lavenia Oickle

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

Residence of Father when child was born Union Square Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Union Square

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Vera Blanche MacKay Address of Applicant New Germany RR 1 Date February 27, 1981

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Maude BeatriceErnst

Born at Union Square in the County of Lunenburg

That Maude BeatriceErnst Whose Birth is sought to be registered was

born at Union Square Lunenburg County on January 1, 1921

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

That I was seven 7 yrs old, and I remember quite well the night she was born and we have an older brother and Sister 72 who also can truthfully say that Maude was born in Union Sq. Also our Mother had never been outside the of Lunenburg

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