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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93501456

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 14, 1906 Place of Birth St. BernardCounty of Digby

Name of Father Denis Amirault MAIDEN NAME of Mother Estella Gaudet

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

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

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

Signature of Applicant Mary Lillian Amirault Address of Applicant New Edinburg Date 30 March 1926

Relationship of Applicant to child self

AFFIDAVIT

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

Born at St. Bernard in the County of Digby

That Marie LillianAmirault Whose Birth is sought to be registered was

born at St. Bernard Digby County on August 14, 1906

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

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