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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000113

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edward JosephDoucette Sex Male

Date of Birth October 1, 1924 Place of Birth Grand DesertCounty of Halifax

Name of Father Stanley Doucette MAIDEN NAME of Mother Euphrasie Fillis

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

Residence of Father when child was born Grand Desert, Halifax Co., NS Present address of Father Grand Desert, Halifax Co., NS

Occupation of Father at Birth of child Labourer Place of birth of Father New Brunswick

Race Name and present address of Physician in attendance at birth

Signature of Applicant Edward Joseph Doucette Address of Applicant Grand Desert, Halifax Co., NS Date 24 July 1951

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edward JosephDoucette

Born at Grand Desert in the County of Halifax

That Edward JosephDoucette Whose Birth is sought to be registered was

born at Grand Desert Halifax County on October 1, 1924

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

Of records of baptism at St. Anselm's Rectory

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