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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000807

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Amanda MarieFougere Sex Female

Date of Birth October 1, 1920 Place of Birth PoulamondCounty of Richmond

Name of Father Honore Fougere MAIDEN NAME of Mother Alexina Landry

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

Residence of Father when child was born Poulamond, Richmond Co. Present address of Father deceased

Occupation of Father at Birth of child Seaman Place of birth of Father Poulamond, Richmond Co.

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

Signature of Applicant Leo Henry Landry Address of Applicant Petit de Grat, Richmond Co. Date 4 November 1976

Relationship of Applicant to child Son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Amanda MarieFougere

Born at Poulamond in the County of Richmond

That Amanda MarieFougere Whose Birth is sought to be registered was

born at Poulamond Richmond County on October 1, 1920

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

Read certificate of Baptism as prepared and signed by Fr. D. L. doucet. Informtion on certificate of Baptism suppllied from records of the Roman Catholic Church in d'Escousse - Poulemond, Richmond Co. is in the d'Escousse Parish.

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