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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93401002

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lillian LorettaDoucett Sex Female

Date of Birth July 12, 1906 Place of Birth St. BernardCounty of Digby

Name of Father Dennis Doucette MAIDEN NAME of Mother Lizzie Romain

Residence of Father when child was born St. Bernard Present address of Father New Edinburg

Occupation of Father at Birth of child Stevedore Place of birth of Father New Edinburg

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

Signature of Applicant Lilliam Loretta Doucett Address of Applicant New Edinburg Date 23 October 1925

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lillian LorettaDoucett

Born at St. Bernard in the County of Digby

That Lillian LorettaDoucett Whose Birth is sought to be registered was

born at St. Bernard Digby County on July 12, 1906

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

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