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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000331

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 18, 1923 Place of Birth AmherstCounty of Cumberland

Name of Father   MAIDEN NAME of Mother Jennie May Gould

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Grace Veno Address of Applicant 51 Poplar Street, Amherst, Cumberland Co., NS Date 16 October 1967

Relationship of Applicant to child Aunt

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That Aubrey JosephGould Whose Birth is sought to be registered was

born at Amherst Cumberland County on April 18, 1923

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

I was present at time of birth

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