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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100170

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of William CliffordLejeune Sex Male

Date of Birth December 7, 1920 Place of Birth West ArichatCounty of Richmond

Name of Father Alexia Lejeune MAIDEN NAME of Mother Eleanor 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 deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant William Clifford Lejeune Address of Applicant West Arichat Date May 24, 1982

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of William CliffordLejeune

Born at West Arichat in the County of Richmond

That William CliffordLejeune Whose Birth is sought to be registered was

born at West Arichat Richmond County on December 7, 1920

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

Certificate of Baptism

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