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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000705

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth September 17, 1923 Place of Birth New GlasgowCounty of Pictou

Name of Father William Marchand MAIDEN NAME of Mother  Boudreau Boudroit

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

Residence of Father when child was born New Glasgow Pictou Co. Ns Present address of Father Louisdale, Richmond Co., NS

Occupation of Father at Birth of child Carpenter Place of birth of Father Louisdale, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary Irene Boudreau Address of Applicant Louisdale, Richmond Co., NS Date 12 February 1979

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at New Glasgow in the County of Pictou

That Mary IreneMarchand Whose Birth is sought to be registered was

born at New Glasgow Pictou County on September 17, 1923

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

Certificate of birth and baptism. Please return.

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