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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000986

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph RoyAmero Sex Male

Date of Birth May 28, 1923 Place of Birth MarshalltownCounty of Digby

Name of Father Joseph Amero MAIDEN NAME of Mother Florence Comeau

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

Residence of Father when child was born Conway Digby Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Digby, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Flora Bernice Amero Address of Applicant RR #2, Marshalltown, Digby Co., NS Date 5 May 1987

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph RoyAmero

Born at Marshalltown in the County of Digby

That Joseph RoyAmero Whose Birth is sought to be registered was

born at Marshalltown Digby County on May 28, 1923

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

His baptismal certificate, a copy of which is attached hereto as Schedule "A"

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