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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

65400259

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth January 27, 1924 Place of Birth Glace BayCounty of Cape Breton

Name of Father John Doucette MAIDEN NAME of Mother Christina Beaver

Residence of Father when child was born Pennsylvania, USA Present address of Father Glace Bay, Cape Breton Co., NS

Occupation of Father at Birth of child Place of birth of Father Newfoundland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mary Sonelle Address of Applicant New Waterford, Cape Breton Co., NS Date 4 July 1932

Relationship of Applicant to child Foster Mother

AFFIDAVIT

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

Born at Glace Bay in the County of Cape Breton

That Mary ElizabethDoucette Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on January 27, 1924

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

I am her foster mother and adopted her when she was two months old

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