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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000177

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Everette JohnJoudrey Sex Male

Date of Birth May 7, 1920 Place of Birth Western ShoreCounty of Lunenburg

Name of Father Harris Joudrey MAIDEN NAME of Mother Phobe Dorey

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

Residence of Father when child was born Western Shore Present address of Father Martins Point

Occupation of Father at Birth of child Labourer Place of birth of Father Western Shore

Race English Name and present address of Physician in attendance at birth Dr. Chisholm

Signature of Applicant Phobe E. Joudrey Address of Applicant Martins Point Date June 4, 1952

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Everette JohnJoudrey

Born at Western Shore in the County of Lunenburg

That Everette JohnJoudrey Whose Birth is sought to be registered was

born at Western Shore Lunenburg County on May 7, 1920

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

I am his mother

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