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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100421

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 11, 1920 Place of Birth AmherstCounty of Cumberland

Name of Father Napolean Arseneau MAIDEN NAME of Mother Elisabeth Gallant

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Mount Carmel, Prince Edward Island

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita Kinninmont Address of Applicant 700 Bay Street, Apt 505, Sault Ste Marie, Ontario Date 14 January 2008

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That Marie RitaArseneau Whose Birth is sought to be registered was

born at Amherst Cumberland County on August 11, 1920

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

Baptismal certificate

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