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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000864

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 13, 1921 Place of Birth ConcessionsCounty of Digby

Name of Father Theophile Boudreau MAIDEN NAME of Mother Edith Jeddry

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

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

Occupation of Father at Birth of child Farmer Place of birth of Father Concessions

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eddie Comeau Address of Applicant Meteghan Date November 30, 1979

Relationship of Applicant to child Friend

AFFIDAVIT

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

Born at Concessions in the County of Digby

That Mary ArseneBoudreau Whose Birth is sought to be registered was

born at Concessions Digby County on April 13, 1921

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

Baptismal Certificate

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