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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100331

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wesley DennisHubley Sex Male

Date of Birth June 28, 1920 Place of Birth BridgewaterCounty of Lunenburg

Name of Father   MAIDEN NAME of Mother Laura Maud Himmelman

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Wesley Dennis Hubley Address of Applicant Bridgewater Date January 28, 1985

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wesley DennisHubley

Born at Bridgewater in the County of Lunenburg

That Wesley DennisHubley Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on June 28, 1920

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

Taken from the Baptismal Records of the Presbyterian Church of Canada of the New Dublin-Conquerall Parish

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