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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000997

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth March 24, 1923 Place of Birth TruroCounty of Colchester

Name of Father Felix Boudreau MAIDEN NAME of Mother Hattie Horne

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

Residence of Father when child was born Truro Colchester Co. Ns Present address of Father

Occupation of Father at Birth of child Place of birth of Father Dover, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Hattie Boudreau Address of Applicant Box 311, Bellmont Avenue, Stellarton, Pictou Co., NS Date 10 July 1987

Relationship of Applicant to child Mother

AFFIDAVIT

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

Born at Truro in the County of Colchester

That BeulahBoudreau Whose Birth is sought to be registered was

born at Truro Colchester County on March 24, 1923

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

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