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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000236

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie LucilleDoucet Sex Female

Date of Birth February 24, 1920 Place of Birth Belliveau CoveCounty of Digby

Name of Father Augustin Doucet MAIDEN NAME of Mother Marie Rose Dugas

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

Residence of Father when child was born Belliveau Cove, Digby Co. Present address of Father Belliveau Cove, Digby Co.

Occupation of Father at Birth of child Farmer Place of birth of Father Belliveau Cove, Digby Co.

Race White Name and present address of Physician in attendance at birth Dr. H. J. Pothier, Weymouth, Digby Co.

Signature of Applicant Marie Rose Doucet Address of Applicant Belliveau Cove, Digby Co. Date 11 October 1955

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie LucilleDoucet

Born at Belliveau Cove in the County of Digby

That Marie LucilleDoucet Whose Birth is sought to be registered was

born at Belliveau Cove Digby County on February 24, 1920

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

Baptism certificate

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