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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000154

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Dorothy MargueriteRobicheau Sex Female

Date of Birth December 20, 1923 Place of Birth YarmouthCounty of Yarmouth

Name of Father Frederick Joseph Robicheau MAIDEN NAME of Mother Ida Maude Pierce

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

Residence of Father when child was born Yarmouth Ns Present address of Father Yarmouth, NS

Occupation of Father at Birth of child Mill Hand Place of birth of Father Yarmouth, NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Ida Maud Robicheau Address of Applicant Yarmouth, NS Date 13 December 1952

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Dorothy MargueriteRobicheau

Born at Yarmouth in the County of Yarmouth

That Dorothy MargueriteRobicheau Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on December 20, 1923

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

I am the mother of the said Dorothy Marguerite Robicheau and know that she was born at the Yarmouth Hospital in Yarmouth aforesaid on December 20th, 1923 and as shown on the Baptismal certificate herewith attached. The name Robicheau is incorrectly spelled in the Baptismal certificate herewith attached. the name Robicheau is incorrectly spelled in the Baptismal certificate as "Robicheau" is correct. The spelling "Robichaud" is often used buy my husband's correct surname is "Robicheau".

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