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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000727

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie JeanetteJosse Sex Female

Date of Birth January 18, 1922 Place of Birth ArichatCounty of Richmond

Name of Father Albert James Josse (Joyce) MAIDEN NAME of Mother  Boudreau

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

Residence of Father when child was born Arichat, Richmond Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Rocky Bay, Richmond

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Jeannette Josse Address of Applicant Box 34, Petit de Grat, Richmond Date 20 February 1979

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie JeanetteJosse

Born at Arichat in the County of Richmond

That Marie JeanetteJosse Whose Birth is sought to be registered was

born at Arichat Richmond County on January 18, 1922

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

As a direct excerpt from the official records of Assumption Parish of Arichat

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