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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000694

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Arthur JosephLandry Sex Male

Date of Birth December 26, 1923 Place of Birth Petit de GratCounty of Richmond

Name of Father Leon Landry MAIDEN NAME of Mother Marie Josephine Boudreau

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

Residence of Father when child was born Petit De Grat Richmond Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Petit de Grat, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Address of Applicant 5868 Stanley Street, Halifax, NS Date 29 January 1979

Relationship of Applicant to child Daughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Arthur JosephLandry

Born at Petit de Grat in the County of Richmond

That Arthur JosephLandry Whose Birth is sought to be registered was

born at Petit de Grat Richmond County on December 26, 1923

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

Baptismal & marriage extract

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