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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200380

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph AlexanderDoucette Sex Male

Date of Birth December 10, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father Joseph Doucette MAIDEN NAME of Mother Kate Garry

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

Residence of Father when child was born Halifax Present address of Father 106 Hollis St.

Occupation of Father at Birth of child Labourer Place of birth of Father Montreal, Quebec

Race Name and present address of Physician in attendance at birth Dr. V.L. Miller

Signature of Applicant Joseph Doucette Address of Applicant 106 Hollis St. Date 16 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph AlexanderDoucette

Born at Halifax in the County of Halifax

That Joseph AlexanderDoucette Whose Birth is sought to be registered was

born at Halifax Halifax County on December 10, 1919

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

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