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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000496

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 27, 1922 Place of Birth LouisdaleCounty of Richmond

Name of Father Thomas Marchand MAIDEN NAME of Mother Sabine Rose Samson

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

Residence of Father when child was born Louisdale, Richmond Present address of Father Deceased

Occupation of Father at Birth of child Fish Cutter Place of birth of Father Louisdale, Richmond

Race Name and present address of Physician in attendance at birth

Signature of Applicant Joseph Raymond Marchand Address of Applicant Louisdale, Richmond Date 5 November 1973

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Louisdale in the County of Richmond

That Joseph RaymondMarchand Whose Birth is sought to be registered was

born at Louisdale Richmond County on September 27, 1922

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

Mr. Raymond Marchand was my school principal throughout my 11 years of attendance at school. I have known Mr. Marchand all my life. School records register him as Joseph Raymond Marchand, born September 27, 1922.

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