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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000357

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rose Agnesd'Entremont Sex Female

Date of Birth August 4, 1922 Place of Birth YarmouthCounty of Yarmouth

Name of Father Jeremie d'Entremont MAIDEN NAME of Mother Odile d'eon

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

Residence of Father when child was born Yarmouth Present address of Father Deceased

Occupation of Father at Birth of child Shipwright Place of birth of Father West Pubnico, Yarmouth

Race Name and present address of Physician in attendance at birth

Signature of Applicant Sarephie d'Entremont Address of Applicant 14 Albert Street, Yarmouth Date June 1968

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rose Agnesd'Entremont

Born at Yarmouth in the County of Yarmouth

That Rose Agnesd'Entremont Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on August 4, 1922

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

I am the older sister of said Rose Agnes d'Entremont and can well remember the fact of her birth at our family home in Yarmouth on August 4th, 1922.

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