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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000980

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alphonse AdolpheMelanson Sex Male

Date of Birth September 16, 1921 Place of Birth CorberrieCounty of Digby

Name of Father Leo Melanson MAIDEN NAME of Mother Dellie Gaudet

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

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

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Melanson Address of Applicant 2 Sybil Ct. Halifax Date August 10, 1982

Relationship of Applicant to child Son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alphonse AdolpheMelanson

Born at Corberrie in the County of Digby

That Alphonse AdolpheMelanson Whose Birth is sought to be registered was

born at Corberrie Digby County on September 16, 1921

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

Baptism Marriage Extract

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