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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000904

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EarlWeatherbee Sex Male

Date of Birth September 20, 1922 Place of Birth BelmontCounty of Colchester

Name of Father Wesley Albert Weatherbee MAIDEN NAME of Mother Myrtle M. Teed

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

Residence of Father when child was born Belmont, Colchester Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Belmont, Colchester

Race Name and present address of Physician in attendance at birth

Signature of Applicant Muriel E. Weatherbee Address of Applicant RR #2, Debert, Colchester Date 10 September 1982

Relationship of Applicant to child Wife

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EarlWeatherbee

Born at Belmont in the County of Colchester

That EarlWeatherbee Whose Birth is sought to be registered was

born at Belmont Colchester County on September 20, 1922

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

Deputy Registrar General Have sufficient evidence as per letter, September 1, 1982

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