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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000343

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marguerite AudreyComeau Sex Female

Date of Birth January 24, 1920 Place of Birth YarmouthCounty of Yarmouth

Name of Father Not given  MAIDEN NAME of Mother Augusta Comeau

Were the Parents married at the time of the Birth?

Residence of Father when child was born Not given Present address of Father

Occupation of Father at Birth of child Not given Place of birth of Father

Race French Name and present address of Physician in attendance at birth Deceased

Signature of Applicant Marguerite A. Simons Address of Applicant 616 Main Street, Kentville, Kings Co. Date 23 March 1961

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marguerite AudreyComeau

Born at Yarmouth in the County of Yarmouth

That Marguerite AudreyComeau Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on January 24, 1920

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

Baptismal certificate from St. Ambrose Church, Yarmouth. School records and statutory declaration of grandmother attached.

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