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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500184

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Irene FlorenceRichard Sex Female

Date of Birth December 16, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father Thaddy V Richard MAIDEN NAME of Mother Elvina Vienneau

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

Residence of Father when child was born Amherst Present address of Father 6 Fairview Ave.

Occupation of Father at Birth of child Carpenter Place of birth of Father Upper Aboujagane, NB

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

Signature of Applicant Thaddy V. Richard Address of Applicant 6 Fairview Ave., Amherst Date 09 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Irene FlorenceRichard

Born at Amherst in the County of Cumberland

That Irene FlorenceRichard Whose Birth is sought to be registered was

born at Amherst Cumberland County on December 16, 1919

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

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