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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000808

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Henry JosephMombourquette Sex Male

Date of Birth March 27, 1923 Place of Birth South BarCounty of Cape Breton

Name of Father Peter Mombourquette MAIDEN NAME of Mother Axilda Fougere

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

Residence of Father when child was born South Bar Sydney Cape Breton Co. Ns Present address of Father Dead

Occupation of Father at Birth of child Coal Trimmer Place of birth of Father L'Ardoice, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Matilda Gillis Address of Applicant 1910 Faylee Crescent, Apt 213, Pickering, Ontario Date May 1980

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Henry JosephMombourquette

Born at South Bar in the County of Cape Breton

That Henry JosephMombourquette Whose Birth is sought to be registered was

born at South Bar Cape Breton County on March 27, 1923

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

He was baptized in St. Alphonse Roman Catholic Church and made his first Communion there. Papers were destroyed in fire in Church. School records in South Bar School. they only have ten years back. He was in the Merchant Marines and went overseas in 1941. He came home 4 or 5 years later.

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