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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

93501714

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary MargaretDoucette Sex Female

Date of Birth December 16, 1906 Place of Birth DominionCounty of Cape Breton

Name of Father James M. Doucette MAIDEN NAME of Mother Hannah Connelly

Residence of Father when child was born Dominion Present address of Father Dorchester, Massachusetts

Occupation of Father at Birth of child Coal Miner Place of birth of Father Low Point, Cape Breton

Race French Name and present address of Physician in attendance at birth Dr. M.D. Morrison

Signature of Applicant Hannah Doucette Address of Applicant Glace Bay Date 28 May 1926

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary MargaretDoucette

Born at Dominion in the County of Cape Breton

That Mary MargaretDoucette Whose Birth is sought to be registered was

born at Dominion Cape Breton County on December 16, 1906

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

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