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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000581

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen MarieDorey Sex Female

Date of Birth August 29, 1921 Place of Birth BridgewaterCounty of Lunenburg

Name of Father George John Freeman Dorey MAIDEN NAME of Mother Mary Jane Weagle

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

Residence of Father when child was born Bridgewater Present address of Father deceased

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

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Garth S. Stewart Address of Applicant Bridgewater Date 17 January 1975

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen MarieDorey

Born at Bridgewater in the County of Lunenburg

That Helen MarieDorey Whose Birth is sought to be registered was

born at Bridgewater Lunenburg County on August 29, 1921

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

Certificate of Baptism Letter of Confirmation from School Principal Recorded on leaf from Family Bible

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