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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100137

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vernon GreenlawBlois Sex Male

Date of Birth June 2, 1920 Place of Birth WaverleyCounty of Halifax

Name of Father George Blois MAIDEN NAME of Mother Zendoia Greenlaw

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

Residence of Father when child was born Waverley, Halifax Present address of Father deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Waverley, Halifax

Race Name and present address of Physician in attendance at birth

Signature of Applicant Vernon G. Blois Address of Applicant Waverley, Halifax Date 29 September 1981

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vernon GreenlawBlois

Born at Waverley in the County of Halifax

That Vernon GreenlawBlois Whose Birth is sought to be registered was

born at Waverley Halifax County on June 2, 1920

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

Baptismal

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