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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000007

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 10, 1922 Place of Birth Havre BoucherCounty of Antigonish

Name of Father Cedeoin Decoste MAIDEN NAME of Mother Margaret Levesque

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

Residence of Father when child was born Havre Boucher, Antigonish Present address of Father

Occupation of Father at Birth of child Farmer Place of birth of Father Havre Boucher, Antigonish

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Decoste Address of Applicant Frankville, Antigonish Date 12 June 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary BernadetteDecoste

Born at Havre Boucher in the County of Antigonish

That Mary BernadetteDecoste Whose Birth is sought to be registered was

born at Havre Boucher Antigonish County on February 10, 1922

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

I am the mother of said Mary Bernadette Decoste

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