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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000868

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rose MargueriteDoiron Sex Female

Date of Birth December 13, 1920 Place of Birth GrandigneCounty of Richmond

Name of Father Jean Doiron MAIDEN NAME of Mother Clara Boudreau

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

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

Occupation of Father at Birth of child Contractor Place of birth of Father Pomquet

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rose Marguerite Doiron Address of Applicant Arichat Date October 11, 1977

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rose MargueriteDoiron

Born at Grandigne in the County of Richmond

That Rose MargueriteDoiron Whose Birth is sought to be registered was

born at Grandigne Richmond County on December 13, 1920

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

By certificate of baptism

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