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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000442

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Russel CarlNauss Sex Male

Date of Birth May 8, 1923 Place of Birth BridgewaterCounty of Lunenburg

Name of Father Bennett James Nauss MAIDEN NAME of Mother Esther Creaser

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

Residence of Father when child was born Bridgewater Lunenburg Co. Ns Present address of Father Bridgewater, Lunenburg Co., NS

Occupation of Father at Birth of child Building Contractor Place of birth of Father Lunenburg, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Russel Carl Nauss Address of Applicant Bridgewater, Lunenburg Co., NS Date 19 August 1972

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Russel CarlNauss

Born at Bridgewater in the County of Lunenburg

That Russel CarlNauss Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on May 8, 1923

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

the enclosed photocopy of my Baptism certificate

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