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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000946

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alfred AbrahamJulien Sex Male

Date of Birth May 1, 1921 Place of Birth Middle Porters LakeCounty of Halifax

Name of Father Daniel Julien MAIDEN NAME of Mother Agnes LaPierre

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

Residence of Father when child was born Middle Porters Lake Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Kendall Webb Address of Applicant 3583 Albert St. Halifax Date October 30, 1981

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alfred AbrahamJulien

Born at Middle Porters Lake in the County of Halifax

That Alfred AbrahamJulien Whose Birth is sought to be registered was

born at Middle Porters Lake Halifax County on May 1, 1921

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

Baptismal Extract from marriage record

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