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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91700356

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Audrey LereneWentzell Sex Female

Date of Birth February 20, 1921 Place of Birth New CanadaCounty of Lunenburg

Name of Father Albert James Wentzell MAIDEN NAME of Mother Helen Eunice Knox

Residence of Father when child was born New Canada, Lunenburg Co., NS Present address of Father New Canada, Lunenburg Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father New Canada, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Albert Wentzell Address of Applicant New Canada, Lunenburg Co., NS Date 13 June 1942

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Audrey LereneWentzell

Born at New Canada in the County of Lunenburg

That Audrey LereneWentzell Whose Birth is sought to be registered was

born at New Canada Lunenburg County on February 20, 1921

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

That I am the father of Audrey Lerene Wentzell and was at home at the date given.

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