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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000157

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Charles EdwardWeatherby Sex Male

Date of Birth August 18, 1923 Place of Birth BruleCounty of Colchester

Name of Father Ross Weatherby MAIDEN NAME of Mother Katherine May Joudrie

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

Residence of Father when child was born Brule Colchester Co. Ns Present address of Father RR #1, Tatamagouche, Colchester Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Brule, Colchester Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Charles Weatherby Address of Applicant RR #1, Tatamagouche, Colchester Co., NS Date 18 March 1953

Relationship of Applicant to child Same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Charles EdwardWeatherby

Born at Brule in the County of Colchester

That Charles EdwardWeatherby Whose Birth is sought to be registered was

born at Brule Colchester County on August 18, 1923

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

My records.

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