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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000946

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Louis PatPoirier Sex Male

Date of Birth July 22, 1920 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Charles Poirier MAIDEN NAME of Mother Lucy Chiasson

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

Residence of Father when child was born New Waterford Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Louis Pat Poirier Address of Applicant Toronto Date November 23, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Louis PatPoirier

Born at New Waterford in the County of Cape Breton

That Louis PatPoirier Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on July 22, 1920

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

Louis Pat Poirier is my brother and I remember the date of his birth. - Catherine Poirier

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