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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000118

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph BernardDoucet Sex Male

Date of Birth July 30, 1922 Place of Birth St. Joseph du MoineCounty of Inverness

Name of Father Thomas Doucet MAIDEN NAME of Mother Marie Chaisson

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

Residence of Father when child was born St. Joseph du Moine, Inverness Present address of Father Buctouche, New Brunswick

Occupation of Father at Birth of child Farmer Place of birth of Father St. Joseph du Moine, Inverness

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Bernard Doucet Address of Applicant Buctouche, Kent, New Brunswick Date 5 July 1951

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph BernardDoucet

Born at St. Joseph du Moine in the County of Inverness

That Joseph BernardDoucet Whose Birth is sought to be registered was

born at St. Joseph du Moine Inverness County on July 30, 1922

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

I am the father of this child whose birth certificate is sought to be registered. (signed Tom. T. Doucet)

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