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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000774

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph CamilleJeddry Sex Male

Date of Birth June 28, 1923 Place of Birth St. AlphonseCounty of Digby

Name of Father Freeman Jeddry MAIDEN NAME of Mother Rose Leblanc

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

Residence of Father when child was born St. Alphonse Digby Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father St. Alphonse, Digby Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Camille Jeddry Address of Applicant 6302 Allan Street, Halifax, NS Date 22 April 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph CamilleJeddry

Born at St. Alphonse in the County of Digby

That Joseph CamilleJeddry Whose Birth is sought to be registered was

born at St. Alphonse Digby County on June 28, 1923

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

Baptismal

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