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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000686

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary EleanoraThibault Sex Female

Date of Birth March 6, 1922 Place of Birth DoucettevilleCounty of Digby

Name of Father Clarence Thibault MAIDEN NAME of Mother Sadie Comeau

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 Mary Eleanora Thibault Address of Applicant Box 57, RR #1, Plympton, Digby Date 26 April 1978

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary EleanoraThibault

Born at Doucetteville in the County of Digby

That Mary EleanoraThibault Whose Birth is sought to be registered was

born at Doucetteville Digby County on March 6, 1922

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

Baptismal certificate, here attached.

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