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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000033

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth February 6, 1923 Place of Birth Lower WedgeportCounty of Yarmouth

Name of Father Nectar Boudreau MAIDEN NAME of Mother Lizzie Clairmont

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

Residence of Father when child was born Wedgeport Yarmouth Co. Ns Present address of Father Dead

Occupation of Father at Birth of child Cook Place of birth of Father Lower Wedgeport, Yarmouth Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Moses Maillet Address of Applicant St. Alphonse, Clare, Digby Co., NS Date 24 October 1947

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Lower Wedgeport in the County of Yarmouth

That John ErnestBoudreau Whose Birth is sought to be registered was

born at Lower Wedgeport Yarmouth County on February 6, 1923

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

On birth and baptismal certificate issued by parish priest forwarded to your office.

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