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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000631

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie Josephine GermaineFiset Sex

Date of Birth April 16, 1920 Place of Birth CheticampCounty of Inverness

Name of Father Levi Fiset MAIDEN NAME of Mother Marguerite LeBlanc

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

Residence of Father when child was born Cheticamp Present address of Father deceased

Occupation of Father at Birth of child Merchant Place of birth of Father Cheticamp

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

Signature of Applicant Marie Germaine Gaudet Address of Applicant Milford, Hants Co. Date March 27, 1973

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie Josephine GermaineFiset

Born at Cheticamp in the County of Inverness

That Marie Josephine GermaineFiset Whose Birth is sought to be registered was

born at Cheticamp Inverness County on April 16, 1920

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

Baptism Certificate.

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