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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000924

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Victor PatrickCormier Sex Male

Date of Birth July 18, 1924 Place of Birth Belle CoteCounty of Inverness

Name of Father John A. Cormier MAIDEN NAME of Mother Marie Anne Doucet

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

Residence of Father when child was born Belle Cote Present address of Father deceased

Occupation of Father at Birth of child Fisherman Farmer Place of birth of Father Belle Cote

Race Name and present address of Physician in attendance at birth

Signature of Applicant Victor Patrick Comier Address of Applicant Belle Cote Date October 17, 1988

Relationship of Applicant to child Child

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Victor PatrickCormier

Born at Belle Cote in the County of Inverness

That Victor PatrickCormier Whose Birth is sought to be registered was

born at Belle Cote Inverness County on July 18, 1924

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

(1) Baptismal (2) Census Record (3) National Registration

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