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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100347

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 14, 1920 Place of Birth AmherstCounty of Cumberland

Name of Father Albinie Gautreau MAIDEN NAME of Mother Phelina Donelle

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 Carpenter Place of birth of Father Shediac, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Louise Neil Address of Applicant Peterborough, Ontario Date May 11, 1984

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That Marie LouiseGautreau Whose Birth is sought to be registered was

born at Amherst Cumberland County on November 14, 1920

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

Attached hereto is original Baptismal Certificate issued to me on November 8, 1938 (prior to my marriage in Shediac, N.B. on November 24th, 1938) confirming that I was baptized at St. Charles Church at Amherst on November 28, 1920 (when I was 2 weeks old) signed and sealed by the Parish priest and certifying that I was born on November 14, 1920.

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