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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000292

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Aubrey SidneyRolfe Sex Male

Date of Birth April 8, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Harold Andrew Rolfe MAIDEN NAME of Mother Mable Randall

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

Residence of Father when child was born Henry Street Sydney Cape Breton Co. Ns Present address of Father George Street, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Steel Plant, Sydney, Cape Breton Co., NS Place of birth of Father Tilt Cove, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Aubrey Sidney Rolfe Address of Applicant 226 Lorne Street, Sydney, Cape Breton Co., NS Date May 1963

Relationship of Applicant to child Myself

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Aubrey SidneyRolfe

Born at Sydney in the County of Cape Breton

That Aubrey SidneyRolfe Whose Birth is sought to be registered was

born at Sydney Cape Breton County on April 8, 1923

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

Record in my office for births (medical doctor) of ______? at birth of Aubrey Sydney Rolfe. Salvation Army record shows 2 name as Sydney

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