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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000901

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie EstelleWhite Sex Female

Date of Birth July 28, 1921 Place of Birth PoulamondCounty of Richmond

Name of Father Matin White MAIDEN NAME of Mother Eva LeBlanc

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

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

Occupation of Father at Birth of child Seaman Place of birth of Father St. Georges Bay, Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Estelle Ranson Address of Applicant D'Escousse Date September 22, 1980

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie EstelleWhite

Born at Poulamond in the County of Richmond

That Marie EstelleWhite Whose Birth is sought to be registered was

born at Poulamond Richmond County on July 28, 1921

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

I lived at Poulamond, in the same house, when Marie Estelle White was born to my sister and brother-in-law. I have examined the original Certificate of Baptism signed by the later Father Wilfred A. Boucher a former parish priest at D'Escousse and I find it to be correct in every respect.

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