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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000909

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Bernard JosephCormier Sex Male

Date of Birth June 8, 1923 Place of Birth Belle CoteCounty of Inverness

Name of Father Peter Cormier MAIDEN NAME of Mother Minnie Leblanc

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

Residence of Father when child was born Belle Cote Inverness Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Railroad Place of birth of Father Cheticamp, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant B. Cormier Address of Applicant 805 Walnut Street, Whitby, Ontario Date 25 September 1984

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Bernard JosephCormier

Born at Belle Cote in the County of Inverness

That Bernard JosephCormier Whose Birth is sought to be registered was

born at Belle Cote Inverness County on June 8, 1923

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

My mother and father statements to me and certificate of War Service.

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