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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93501486

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Ford MacArthurBoutilier Sex Male

Date of Birth May 11, 1906 Place of Birth AspotoganCounty of Lunenburg

Name of Father James Boutilier MAIDEN NAME of Mother Mabel Boutilier

Residence of Father when child was born Aspotogan Present address of Father Aspotogan

Occupation of Father at Birth of child Fisherman Place of birth of Father Aspotogan

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

Signature of Applicant Ford Boutilier Address of Applicant Aspotogan Date 25 January 1926

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Ford MacArthurBoutilier

Born at Aspotogan in the County of Lunenburg

That Ford MacArthurBoutilier Whose Birth is sought to be registered was

born at Aspotogan Lunenburg County on May 11, 1906

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

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