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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000585

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Blanche EthelAmirault Sex Female

Date of Birth September 22, 1923 Place of Birth Plympton StationCounty of Digby

Name of Father Heber Amirault MAIDEN NAME of Mother Gertrude Ambroise

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

Residence of Father when child was born Plympton Station Digby Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Doucetteville

Race Name and present address of Physician in attendance at birth

Signature of Applicant Shirley Robicheau Address of Applicant Plympton Station, Digby Co., NS Date 24 November 1976

Relationship of Applicant to child Niece

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Blanche EthelAmirault

Born at Plympton Station in the County of Digby

That Blanche EthelAmirault Whose Birth is sought to be registered was

born at Plympton Station Digby County on September 22, 1923

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

Baptism certificate Marriage record

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