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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000870

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RitaComeau Sex Female

Date of Birth August 22, 1923 Place of Birth AmherstCounty of Cumberland

Name of Father Wilfred Comeau MAIDEN NAME of Mother Basalise Leblanc

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

Residence of Father when child was born Amherst Cumberland Co. Ns Present address of Father Deceased

Occupation of Father at Birth of child Shoemaker Place of birth of Father Cape Bald, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita Osborne Address of Applicant 102 Richard Street East, Saint John, New Brunswick Date August 1983

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RitaComeau

Born at Amherst in the County of Cumberland

That RitaComeau Whose Birth is sought to be registered was

born at Amherst Cumberland County on August 22, 1923

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

Certificate of birth and baptism Letter from school trustees

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