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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100193

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary Alice DorothyLorette Sex Female

Date of Birth April 10, 1921 Place of Birth AmherstCounty of Cumberland

Name of Father William E. Lorette MAIDEN NAME of Mother Janie Cormier

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father St. Andre, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Dorothy Westike Address of Applicant Amherst Date January 27, 1987

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Alice DorothyLorette

Born at Amherst in the County of Cumberland

That Mary Alice DorothyLorette Whose Birth is sought to be registered was

born at Amherst Cumberland County on April 10, 1921

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

That I am her sister and am 15 years her senior and clearly remember her birth.

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