Male Birth Registration: Year: 1922 number: 99000674
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PROVINCE OF NOVA SCOTIA
DELAYED REGISTRATION OF BIRTH
99000674
TO THE REGISTRAR GENERAL OF NOVA SCOTIA
I hereby make application for the Registration of Birth of Xavier PatrickBennett Sex Male
Date of Birth April 2, 1922 Place of Birth Havre BoucherCounty of Antigonish
Name of Father David Peter Bennett MAIDEN NAME of Mother Mary Eugenie Crispo
Were the Parents married at the time of the Birth? Yes
Residence of Father when child was born Havre Boucher, Antigonish Present address of Father Deceased
Occupation of Father at Birth of child Farmer Place of birth of Father Havre Boucher, Antigonish
Race Name and present address of Physician in attendance at birth
Signature of Applicant Jaunita Bennett Address of Applicant East Havre Boucher, Antigonish Date 17 February 1978
Relationship of Applicant to child Daughter
AFFIDAVIT
IN THE MATTER of the application for the Registration of the Birth of Xavier PatrickBennett
Born at Havre Boucher in the County of Antigonish
That Xavier PatrickBennett Whose Birth is sought to be registered was
born at Havre Boucher Antigonish County on April 2, 1922
My knowledge of the fact and date of such Birth is based on the following Circumstances:
Baptismal certificate and marriage extract
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/birth/?ID=431926
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