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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000455

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 12, 1920 Place of Birth ArichatCounty of Richmond

Name of Father George Richard MAIDEN NAME of Mother Stella Martel

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

Residence of Father when child was born Arichat Present address of Father Arichat

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

Race French Name and present address of Physician in attendance at birth none

Signature of Applicant Allan W. Cameron Address of Applicant Sudbury Date October 3, 1967

Relationship of Applicant to child husband

AFFIDAVIT

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

Born at Arichat in the County of Richmond

That Marie LinaRichard Whose Birth is sought to be registered was

born at Arichat Richmond County on December 12, 1920

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

Certificate of Baptism indicates above birth date and I have recognized said birth date since our marriage, January 31, 1938.

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