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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000867

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 19, 1922 Place of Birth AmherstCounty of Cumberland

Name of Father Elzear Dupuis MAIDEN NAME of Mother Leonie LeBlanc

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

Residence of Father when child was born Amherst, Cumberland Present address of Father Deceased

Occupation of Father at Birth of child Lather Place of birth of Father Amherst, Cumberland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Irene Hebert (nee: Dupuis) Address of Applicant 102 - 330 Gibb Street, Oshawa, Ontario, L1J 1Z2 Date 8 October 1981

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Amherst in the County of Cumberland

That Marie IreneDupuis Whose Birth is sought to be registered was

born at Amherst Cumberland County on August 19, 1922

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

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