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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000841

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Philip LouisAmero Sex Male

Date of Birth November 22, 1922 Place of Birth PlymptonCounty of Digby

Name of Father Augustus Peter Amero MAIDEN NAME of Mother Florence Madelen Barns

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

Residence of Father when child was born Plympton, Digby Present address of Father Deceased

Occupation of Father at Birth of child Lumberjack Place of birth of Father possibly Plympton, Digby

Race Name and present address of Physician in attendance at birth

Signature of Applicant Philip Amero Address of Applicant RR #1, Martindale Road, Parksville, British Columbia Date 13 March 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Philip LouisAmero

Born at Plympton in the County of Digby

That Philip LouisAmero Whose Birth is sought to be registered was

born at Plympton Digby County on November 22, 1922

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

My mother declared to me when I was going to school, the date and place of my birth.

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