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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100047

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John JosephBoudreau Sex Male

Date of Birth August 22, 1922 Place of Birth ArichatCounty of Richmond

Name of Father Victor Boudreau MAIDEN NAME of Mother Marie Yvonne Gaudet

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

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

Occupation of Father at Birth of child Fisherman Place of birth of Father Little Anse, Richmond

Race Name and present address of Physician in attendance at birth

Signature of Applicant John Boudreau Address of Applicant Box 97, Arichat, Richmond Date 27 May 1986

Relationship of Applicant to child Own self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John JosephBoudreau

Born at Arichat in the County of Richmond

That John JosephBoudreau Whose Birth is sought to be registered was

born at Arichat Richmond County on August 22, 1922

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

Because of baptismal certificate received from priest

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