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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100372

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 29, 1920 Place of Birth ArichatCounty of Richmond

Name of Father Raymond Landry MAIDEN NAME of Mother Beatrice Boudreau

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Arichat

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Mathilda LeBlanc Address of Applicant Halifax Date January 18, 1988

Relationship of Applicant to child child

AFFIDAVIT

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

Born at Arichat in the County of Richmond

That Marie MathildaLandry Whose Birth is sought to be registered was

born at Arichat Richmond County on July 29, 1920

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

1. Baptism 2. Marriage Extract (Birth place)

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