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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000658

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Vera BernicePatriquin Sex Female

Date of Birth July 27, 1922 Place of Birth TatamagoucheCounty of Colchester

Name of Father Elmer Patriquin MAIDEN NAME of Mother Primrose Tattrie

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

Residence of Father when child was born French River, Pictou Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Lake Road, Colchester

Race Name and present address of Physician in attendance at birth

Signature of Applicant Margaret Tattrie Address of Applicant Halifax Date 31 October 1977

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Vera BernicePatriquin

Born at Tatamagouche in the County of Colchester

That Vera BernicePatriquin Whose Birth is sought to be registered was

born at Tatamagouche Colchester County on July 27, 1922

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

School record and marriage

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