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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500021

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 24, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Cyrus Arsenault MAIDEN NAME of Mother Exilda Dupuis

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

Residence of Father when child was born Amherst Present address of Father 7 Patterson St.

Occupation of Father at Birth of child Blacksmith Place of birth of Father Prince Edward Island

Race Name and present address of Physician in attendance at birth Dr. Boudreau

Signature of Applicant Cyrus Arsenault Address of Applicant 7 Patterson St. Date 14 January 1920

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That Joseph LeonideArsenault Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 24, 1919

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

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