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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000079

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Louis DelphiseRichard Sex Male

Date of Birth October 19, 1922 Place of Birth ArichatCounty of Richmond

Name of Father Pierre Richard MAIDEN NAME of Mother Victoria Richard

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

Residence of Father when child was born Arichat, Richmond Present address of Father Arichat, Richmond

Occupation of Father at Birth of child Fisherman Place of birth of Father Cape Auget, Richmond

Race Name and present address of Physician in attendance at birth

Signature of Applicant Louis Delphise Richard Address of Applicant 94 Troy Avenue, Verdun, Quebec Date 2 September 1948

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Louis DelphiseRichard

Born at Arichat in the County of Richmond

That Louis DelphiseRichard Whose Birth is sought to be registered was

born at Arichat Richmond County on October 19, 1922

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

I am the mother of the above named Louis Delphise Richard, I well remember the day and date of birth and I verify this. Enclosing his certificate of birth from the church where he was baptized.

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