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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000724

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of NellieDorey Sex

Date of Birth March 15, 1920 Place of Birth BridgewaterCounty of Lunenburg

Name of Father George John Freeman Dorey MAIDEN NAME of Mother Mary Jane Weagle

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

Residence of Father when child was born Bridgewater Present address of Father deceased

Occupation of Father at Birth of child Laborer Place of birth of Father Upper Walden

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nellie Freener Address of Applicant Bridgewater Date February 2, 1974

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of NellieDorey

Born at Bridgewater in the County of Lunenburg

That NellieDorey Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on March 15, 1920

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

Record in leaf of Family Bible. Confirmation letter of date, place of birth from my sister Mrs. Annie Margaret Banks, Bridgewater.

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