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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100036

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie CecileThibault Sex Female

Date of Birth September 30, 1920 Place of Birth HectanoogaCounty of Digby

Name of Father Raymond Thibault MAIDEN NAME of Mother Marguerite Deveau

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

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

Occupation of Father at Birth of child Labourer Place of birth of Father Hectanooga

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Cecile Thibault Address of Applicant Meteghan Date October 18, 1979

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie CecileThibault

Born at Hectanooga in the County of Digby

That Marie CecileThibault Whose Birth is sought to be registered was

born at Hectanooga Digby County on September 30, 1920

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

From certificate of birth obtained where I was baptized at Weymouth.

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