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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000354

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Harold BertieAulenback Sex Male

Date of Birth April 5, 1923 Place of Birth BlockhouseCounty of Lunenburg

Name of Father Bertie D. Aulenback MAIDEN NAME of Mother Hazel Bell Harmen Or Hermen

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

Residence of Father when child was born Blockhouse Lunenburg Co. Ns Present address of Father Upper LaHave, Lunenburg Co., NS

Occupation of Father at Birth of child Clerk Place of birth of Father Maitland, Lunenburg Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Hazel Aulenback Address of Applicant Bridgewater, Lunenburg Co., NS Date 27 March 1969

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Harold BertieAulenback

Born at Blockhouse in the County of Lunenburg

That Harold BertieAulenback Whose Birth is sought to be registered was

born at Blockhouse Lunenburg County on April 5, 1923

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

I am Harold's mother

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