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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000895

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bernice SarahDorey Sex Female

Date of Birth September 7, 1920 Place of Birth WoodstockCounty of Lunenburg

Name of Father Allan Dorey MAIDEN NAME of Mother Minnie 

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Woodstock

Race Name and present address of Physician in attendance at birth

Signature of Applicant Bernice Hebb Address of Applicant Woodstock Date March 14, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bernice SarahDorey

Born at Woodstock in the County of Lunenburg

That Bernice SarahDorey Whose Birth is sought to be registered was

born at Woodstock Lunenburg County on September 7, 1920

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

I checked the church records with Rev. Fr.C.B. Rigby on 23rd of February 1978 also for proof presenting my certificate of baptism

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