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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000008

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Agnes AngellaDoucette Sex Female

Date of Birth February 6, 1920 Place of Birth New GlasgowCounty of Pictou

Name of Father John Benoit Doucette MAIDEN NAME of Mother Mary Alberta Gallant

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

Residence of Father when child was born New Glasgow Present address of Father deceased

Occupation of Father at Birth of child Tailor Place of birth of Father Rustico, P.E.I.

Race French Name and present address of Physician in attendance at birth Dr. J.J. MacDonald, New Glasgow

Signature of Applicant Mary A. MacGowan Address of Applicant 103 Preston St. Halifax Date June 11, 1946

Relationship of Applicant to child Eldest Sister (age 33)

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Agnes AngellaDoucette

Born at New Glasgow in the County of Pictou

That Agnes AngellaDoucette Whose Birth is sought to be registered was

born at New Glasgow Pictou County on February 6, 1920

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

I am her eldest sister and well remember the day of her birth

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