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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000025

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helene IrenePoirier Sex Female

Date of Birth October 16, 1924 Place of Birth Reserve MinesCounty of Cape Breton

Name of Father Moses Poirier MAIDEN NAME of Mother Olive Aucoin

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

Residence of Father when child was born Reserve Mines, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Miner Place of birth of Father Cheticamp, Inverness Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Olive MacKenzie Poirier Address of Applicant Reserve Mines, Cape Breton Co., NS Date 5 December 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helene IrenePoirier

Born at Reserve Mines in the County of Cape Breton

That Helene IrenePoirier Whose Birth is sought to be registered was

born at Reserve Mines Cape Breton County on October 16, 1924

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

Being her mother, I remember quite well and the church record shows that I am right which I enclosed with this

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