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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100090

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie May CorinneMelanson Sex Female

Date of Birth February 2, 1923 Place of Birth AmherstCounty of Cumberland

Name of Father Edmond Melanson MAIDEN NAME of Mother Ida Richard

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Memramcook, New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Corinne MacDonald Address of Applicant Snook Rd. Mission, British Columbia Date August 19, 2004

Relationship of Applicant to child The child is me Certificate is in maiden name

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie May CorinneMelanson

Born at Amherst in the County of Cumberland

That Marie May CorinneMelanson Whose Birth is sought to be registered was

born at Amherst Cumberland County on February 2, 1923

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

This affidavit is on behalf of myself Corinne MacDonald (married name of Corinne Marie Melanson) Baptismal Certificate and Marriage Record

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