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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000079

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of James JosephDorey Sex Male

Date of Birth February 5, 1924 Place of Birth D'EscousseCounty of Richmond

Name of Father Emile Dorey MAIDEN NAME of Mother Evangeline Bond

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

Residence of Father when child was born D'Escousse, Richmond Co., NS Present address of Father Unknown

Occupation of Father at Birth of child Fisherman Place of birth of Father West Arichat

Race Name and present address of Physician in attendance at birth

Signature of Applicant James Dorey Address of Applicant Vancouver, British Columbia Date 9 November 1948

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of James JosephDorey

Born at D'Escousse in the County of Richmond

That James JosephDorey Whose Birth is sought to be registered was

born at D'Escousse Richmond County on February 5, 1924

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

My son by first marriage to Emile Dorey. Birth was registered as James Francis Dorey due to a mistake by the clergyman - Reverend W. A. Boucher

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