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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000743

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph ArthurPerreault Sex Male

Date of Birth February 24, 1922 Place of Birth Port FelixCounty of Guysborough

Name of Father Alfred Perreault MAIDEN NAME of Mother  Cashen

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

Residence of Father when child was born Port Felix, Guysborough Present address of Father Glen Haven Manor, New Glasgow, Pictou

Occupation of Father at Birth of child Labourer Place of birth of Father Port Felix, Guysborough

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Works Address of Applicant 456 Cameron Avenue, Port Felix, Guysborough Date 26 March 1979

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph ArthurPerreault

Born at Port Felix in the County of Guysborough

That Joseph ArthurPerreault Whose Birth is sought to be registered was

born at Port Felix Guysborough County on February 24, 1922

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

Baptismal records (as attached) & Affidavit on family bible

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