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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000836

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Wesley Allen GarfieldRoett Sex Male

Date of Birth December 25, 1923 Place of Birth SydneyCounty of Cape Breton

Name of Father Wesley Roett MAIDEN NAME of Mother Eunice James

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

Residence of Father when child was born Sydney Cape Breton Co. Ns Present address of Father Dead

Occupation of Father at Birth of child Steel Worker Place of birth of Father Barbados, British West Indies

Race Name and present address of Physician in attendance at birth

Signature of Applicant Wesley Roett Address of Applicant 115 Caroll Crescent, Sydney, Cape Breton Co., NS Date 2 July 1982

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Wesley Allen GarfieldRoett

Born at Sydney in the County of Cape Breton

That Wesley Allen GarfieldRoett Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 25, 1923

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

This is my own birth

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