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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100130

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary CatherineRobichaud Sex Female

Date of Birth January 18, 1920 Place of Birth DoucettevilleCounty of Digby

Name of Father Frank Joseph Robichaud MAIDEN NAME of Mother Beatrice Mary Amero

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

Residence of Father when child was born Doucetteville, Digby Co. Present address of Father deceased

Occupation of Father at Birth of child cook Place of birth of Father Doucetteville, Digby Co.

Race Name and present address of Physician in attendance at birth

Signature of Applicant M. Catherine Starl Address of Applicant RR #2, Clementsport, Digby Co. Date 24 March 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary CatherineRobichaud

Born at Doucetteville in the County of Digby

That Mary CatherineRobichaud Whose Birth is sought to be registered was

born at Doucetteville Digby County on January 18, 1920

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

birth certificate (now in your possession)

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