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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000476

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Willie Francois GeorgeClorey Sex Male

Date of Birth October 26, 1920 Place of Birth West ArichatCounty of Richmond

Name of Father William Clorey MAIDEN NAME of Mother Alma  Meunier

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

Residence of Father when child was born West Arichat Present address of Father West Arichat

Occupation of Father at Birth of child Fisherman Place of birth of Father West Arichat

Race French Name and present address of Physician in attendance at birth Dr. LeBlanc

Signature of Applicant Mrs. Willie F.G. Clorey Address of Applicant Halifax Date September 26, 1968

Relationship of Applicant to child wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Willie Francois GeorgeClorey

Born at West Arichat in the County of Richmond

That Willie Francois GeorgeClorey Whose Birth is sought to be registered was

born at West Arichat Richmond County on October 26, 1920

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

Baptism Certificate.

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