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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100143

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie BernadetteBriand Sex

Date of Birth October 28, 1920 Place of Birth Cape AuguetCounty of Richmond

Name of Father Alphonse Briand MAIDEN NAME of Mother Eva LeBlanc

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

Residence of Father when child was born Cape Auguet Present address of Father deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Cape Auguet

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie B. LeBlanc Address of Applicant Arichat, Richmond Date October 13, 1981

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Cape Auguet in the County of Richmond

That Marie BernadetteBriand Whose Birth is sought to be registered was

born at Cape Auguet Richmond County on October 28, 1920

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

Baptismal.

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