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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000791

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Richard JosephWeyman Sex Male

Date of Birth June 17, 1923 Place of Birth Glace BayCounty of Cape Breton

Name of Father Archibald Weyman MAIDEN NAME of Mother Margaret MacIsaac

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

Residence of Father when child was born Lower Main Street Glace Bay Cape Breton Co. Ns Present address of Father Trenton, Pictou Co., NS

Occupation of Father at Birth of child Dry Cleaning Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Earl A. Weyman Address of Applicant 240 Wallace Road, Glace Bay, Cape Breton Co., NS Date 2 October 1980

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Richard JosephWeyman

Born at Glace Bay in the County of Cape Breton

That Richard JosephWeyman Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on June 17, 1923

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

I am the natural father of the within applicant and have a full knowledge of the date of his birth and agree that it was in fact June 17, 1923

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