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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000516

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Fred HarrisJoudrey Sex Male

Date of Birth January 28, 1922 Place of Birth MaitlandCounty of Lunenburg

Name of Father Joseph Irving Joudrey MAIDEN NAME of Mother Hildah Albertina Eichel

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

Residence of Father when child was born Maitland, Lunenburg Present address of Father Maitland, Lunenburg

Occupation of Father at Birth of child Woodsman Place of birth of Father Northfield, Lunenburg

Race Name and present address of Physician in attendance at birth

Signature of Applicant Fred Harris Joudrey Address of Applicant RR #3, Bridgewater, Lunenburg Date 30 July 1974

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Fred HarrisJoudrey

Born at Maitland in the County of Lunenburg

That Fred HarrisJoudrey Whose Birth is sought to be registered was

born at Maitland Lunenburg County on January 28, 1922

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

Marriage extract and baptismal certificate.

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