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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000890

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wilfred FrancisVacheresse Sex Male

Date of Birth October 5, 1922 Place of Birth PlymouthCounty of Pictou

Name of Father Morris Vacheressze MAIDEN NAME of Mother Lucy 

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

Residence of Father when child was born Plymouth, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Plymouth, Pictou

Race Name and present address of Physician in attendance at birth

Signature of Applicant Wilfred F. Vacheresse Address of Applicant 23 Montgomery Drive, Wallaceburg, Ontario, N8A 1P2 Date 22 February 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wilfred FrancisVacheresse

Born at Plymouth in the County of Pictou

That Wilfred FrancisVacheresse Whose Birth is sought to be registered was

born at Plymouth Pictou County on October 5, 1922

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

I am the applicant. I have examined baptism certificate, Canadian passport, old affidavit, Seamans Identity certificate, Radio Telephone Certificate.

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