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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000562

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary LouisePoirier Sex Female

Date of Birth November 16, 1923 Place of Birth New WaterfordCounty of Cape Breton

Name of Father William Nazere Poirier MAIDEN NAME of Mother Olive Burns

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

Residence of Father when child was born Th Street New Waterford Cape Breton Co. Ns Present address of Father Dead

Occupation of Father at Birth of child Coal Miner Place of birth of Father Cheticamp, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mary Louise Dupe Address of Applicant 65 Greenbrae Circuit, Apt 902, Scarborough, Ontario Date April 1976

Relationship of Applicant to child Brother in Law

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary LouisePoirier

Born at New Waterford in the County of Cape Breton

That Mary LouisePoirier Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on November 16, 1923

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

Baptismal certificate

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