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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000437

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine LouiseDeCoste Sex Female

Date of Birth January 19, 1921 Place of Birth Lower OnslowCounty of Colchester

Name of Father Peter Clement DeCoste MAIDEN NAME of Mother Jean Winnifred Roode

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

Residence of Father when child was born Lower Onslow Present address of Father deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Cape Jack

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

Signature of Applicant Catherine Kennedy Address of Applicant Middle Stewiacke Date June 10, 1970

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine LouiseDeCoste

Born at Lower Onslow in the County of Colchester

That Catherine LouiseDeCoste Whose Birth is sought to be registered was

born at Lower Onslow Colchester County on January 19, 1921

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

Census records Baptismal record in error showing surname as deCoste Correct information: surname DeCoste as verified by parents marriage 20-02-044842

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