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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000559

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Melvena LouiseThibideau Sex Female

Date of Birth April 15, 1922 Place of Birth DoucettevilleCounty of Digby

Name of Father Alex Thibodeau MAIDEN NAME of Mother Lillie Amirault

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

Residence of Father when child was born Doucetteville, Digby Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Doucetteville, Digby

Race Name and present address of Physician in attendance at birth

Signature of Applicant Shirley Mary Robicheau Address of Applicant Plympton, Digby Date 26 November 1975

Relationship of Applicant to child Niece

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Melvena LouiseThibideau

Born at Doucetteville in the County of Digby

That Melvena LouiseThibideau Whose Birth is sought to be registered was

born at Doucetteville Digby County on April 15, 1922

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

Baptismal certificate

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