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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000166

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth July 4, 1924 Place of Birth AntigonishCounty of Antigonish

Name of Father Simon R. Deon MAIDEN NAME of Mother Marion Cormier

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

Residence of Father when child was born Antigonish, NS Present address of Father USA

Occupation of Father at Birth of child Carpenter Place of birth of Father Pomquet, Antigonish Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Byron G. Woodman Address of Applicant 30 Joffre Street, Dartmouth, NS Date 23 November 1955

Relationship of Applicant to child Husband

AFFIDAVIT

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

Born at Antigonish in the County of Antigonish

That Mary LoraineDeon Whose Birth is sought to be registered was

born at Antigonish Antigonish County on July 4, 1924

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

Attached baptism certificate

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