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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000911

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 25, 1921 Place of Birth YarmouthCounty of Yarmouth

Name of Father John G. Thibault MAIDEN NAME of Mother Ann Lillian LeBlanc

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

Residence of Father when child was born Yarmouth Present address of Father

Occupation of Father at Birth of child Car Mechanic Place of birth of Father Abram River

Race Name and present address of Physician in attendance at birth

Signature of Applicant Fraser Cottreau Address of Applicant 6967 Bayers Rd. Date January 2, 1981

Relationship of Applicant to child Son

AFFIDAVIT

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

Born at Yarmouth in the County of Yarmouth

That Mary FrancesThibault Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on February 25, 1921

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

Baptism Certificate

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