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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000729

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Carl JosephSaulnier Sex

Date of Birth October 12, 1920 Place of Birth BrooklynCounty of Yarmouth

Name of Father Joseph Jeffery Saulnier MAIDEN NAME of Mother Agnes Mary Rogers

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

Residence of Father when child was born Brooklyn, Yarmouth Co. Present address of Father Digby, Digby Co.

Occupation of Father at Birth of child Labourer Place of birth of Father Brooklyn, Yar. Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant R.W. Wright Address of Applicant 5 Green Road, Dartmouth Date April 3, 1975

Relationship of Applicant to child Son-in-law

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Carl JosephSaulnier

Born at Brooklyn in the County of Yarmouth

That Carl JosephSaulnier Whose Birth is sought to be registered was

born at Brooklyn Yarmouth County on October 12, 1920

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

Certificate of Birth and Baptism

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