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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000813

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 28, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Robert Piercy MAIDEN NAME of Mother Alfreda Roberts

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

Residence of Father when child was born East Street Sydney Cape Breton Co. Ns Present address of Father 128B McAulays Lane, Sydney, Cape Breton Co., NS

Occupation of Father at Birth of child Steel Worker Place of birth of Father Brigus, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Patricia Piercy Address of Applicant 128B McAulays Lane, Sydney, Cape Breton Co., NS Date 11 September 1981

Relationship of Applicant to child Wife

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That WilfredPiercy Whose Birth is sought to be registered was

born at Sydney Cape Breton County on February 28, 1923

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

1. Baptismal Certificate 2. Extract from marriage

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