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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600302

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 21, 1922 Place of Birth Weaver SettlementCounty of Digby

Name of Father Nelson Amirault MAIDEN NAME of Mother Viola Melanson

Residence of Father when child was born Weaver Settlement, Digby Co., NS Present address of Father Weaver Settlement, Digby Co., NS

Occupation of Father at Birth of child Farmer Place of birth of Father Weaver Settlement, Digby Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Nelson Amirault Address of Applicant Weymouth, Digby Co., NS Date 31 August 1934

Relationship of Applicant to child Father

AFFIDAVIT

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

Born at Weaver Settlement in the County of Digby

That Joseph RichardAmirault Whose Birth is sought to be registered was

born at Weaver Settlement Digby County on February 21, 1922

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

Obtained date of birth from Dr. H. J. Pothier

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