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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100233

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 28, 1921 Place of Birth AmherstCounty of Cumberland

Name of Father Napoleon Dupuis MAIDEN NAME of Mother Elise LeBlanc

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

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

Occupation of Father at Birth of child Place of birth of Father New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Eleanor Hebert Address of Applicant 750 Mohawk Rd. West Apt 404 Hamilton, Ontario Date January 27, 2000

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie Genevive EleanorDupuis

Born at Amherst in the County of Cumberland

That Marie Genevive EleanorDupuis Whose Birth is sought to be registered was

born at Amherst Cumberland County on February 28, 1921

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

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