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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100299

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Pierre GeraldLandry Sex Male

Date of Birth January 20, 1920 Place of Birth AmherstCounty of Cumberland

Name of Father Pierre V. Landry MAIDEN NAME of Mother Alice  LeBlanc

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

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

Occupation of Father at Birth of child Painter Place of birth of Father Memramcook, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Pierre G. Landry Address of Applicant Moncton, New Brunswick Date December 27, 1984

Relationship of Applicant to child same person

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Pierre GeraldLandry

Born at Amherst in the County of Cumberland

That Pierre GeraldLandry Whose Birth is sought to be registered was

born at Amherst Cumberland County on January 20, 1920

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

As per St. Charles Church record showing date of birth, attached here and marked "A"

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