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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100185

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 28, 1921 Place of Birth DoucettvilleCounty of Digby

Name of Father Joseph J. Thibodeau MAIDEN NAME of Mother Annie Robicheau

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 Labourer Place of birth of Father Concession

Race Name and present address of Physician in attendance at birth

Signature of Applicant Miss. E. Thibodeau Address of Applicant Bear River Date April 14, 1986

Relationship of Applicant to child Marie Thibodeau

AFFIDAVIT

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

Born at Doucettville in the County of Digby

That Marie ElizabethThibodeau Whose Birth is sought to be registered was

born at Doucettville Digby County on August 28, 1921

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

Baptismal Record (Exact Copy) in the Holy Cross Church, Plympton B0W 2R0 As Given to me by Father Barry Van Herck

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