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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000637

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph MarenRichard Sex Male

Date of Birth February 26, 1921 Place of Birth ArichatCounty of Richmond

Name of Father Joseph Freddie Richard MAIDEN NAME of Mother Evangeline Mary LeBlanc

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

Residence of Father when child was born Arichat Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Maren Richard Address of Applicant 38 Emmanuel St. New Glasgow Date June 19, 1976

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph MarenRichard

Born at Arichat in the County of Richmond

That Joseph MarenRichard Whose Birth is sought to be registered was

born at Arichat Richmond County on February 26, 1921

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

I am the wife of the applicant and have been so advised by my husband and various other members of his immediate family

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