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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100226

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth October 17, 1921 Place of Birth WestvilleCounty of Pictou

Name of Father Sextus Boudreau MAIDEN NAME of Mother Alvenia Bourque

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

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

Occupation of Father at Birth of child Place of birth of Father Isles de la Madeleine

Race Name and present address of Physician in attendance at birth

Signature of Applicant Blanche Boudreau Address of Applicant RR1 BP 336 Chelsea, Quebec Date September 29, 1994

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary Louise BlancheBoudreau

Born at Westville in the County of Pictou

That Mary Louise BlancheBoudreau Whose Birth is sought to be registered was

born at Westville Pictou County on October 17, 1921

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

I am the daughter of Mary Louise Blanche Boudreau and all the above information are shown on a certificate of baptism annexed with these presents

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