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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100140

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Frank JosephRobichaud Sex Male

Date of Birth February 24, 1921 Place of Birth DoucettevilleCounty of Digby

Name of Father Frank Robichaud MAIDEN NAME of Mother Beatrice Amero

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

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

Occupation of Father at Birth of child Cook Place of birth of Father Doucetteville

Race Name and present address of Physician in attendance at birth

Signature of Applicant Frank Joseph Robichaud Address of Applicant Barton RR1 Date January 6, 1985

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Frank JosephRobichaud

Born at Doucetteville in the County of Digby

That Frank JosephRobichaud Whose Birth is sought to be registered was

born at Doucetteville Digby County on February 24, 1921

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

Baptismal Certificate, and affidavit from Mother, here attached.

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