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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000280

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ray LeoHubley Sex Male

Date of Birth July 13, 1921 Place of Birth FarmingtonCounty of Lunenburg

Name of Father Walter Harold Hubley MAIDEN NAME of Mother Jennie Ester Cole

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

Residence of Father when child was born Farmington Present address of Father New Germany

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

Race English Name and present address of Physician in attendance at birth Mrs. Mossman

Signature of Applicant Mrs. Ada Jewell Hubley Address of Applicant Farmington Date June 10, 1960

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ray LeoHubley

Born at Farmington in the County of Lunenburg

That Ray LeoHubley Whose Birth is sought to be registered was

born at Farmington Lunenburg County on July 13, 1921

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

I lived close by and I took care of him some.

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