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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000672

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen MaryRobicheau Sex Female

Date of Birth November 4, 1922 Place of Birth DoucettevilleCounty of Digby

Name of Father Frank Robicheau MAIDEN NAME of Mother Beatrice 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 Cook Place of birth of Father Doucetteville, Digby

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen M. Robicheau Address of Applicant Doucetteville, Digby Date 30 January 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen MaryRobicheau

Born at Doucetteville in the County of Digby

That Helen MaryRobicheau Whose Birth is sought to be registered was

born at Doucetteville Digby County on November 4, 1922

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

Birth and baptismal certificate

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