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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100254

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Aubrey ReginaldDorey Sex Male

Date of Birth May 10, 1920 Place of Birth WaldenCounty of Lunenburg

Name of Father Arthur Dorey MAIDEN NAME of Mother Alfreda  Hatt

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

Residence of Father when child was born Walden Present address of Father Walden

Occupation of Father at Birth of child Labrador Place of birth of Father Walden

Race Name and present address of Physician in attendance at birth

Signature of Applicant Aubrey R. Dorey Address of Applicant Waldren, Lunenburg County Date 10 April 1984

Relationship of Applicant to child same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Aubrey ReginaldDorey

Born at Walden in the County of Lunenburg

That Aubrey ReginaldDorey Whose Birth is sought to be registered was

born at Walden Lunenburg County on May 10, 1920

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

school register. baptism certificate, affidavit of brother Harry C. Dorey

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