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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000173

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Peter LouisMoulins Sex Male

Date of Birth June 6, 1924 Place of Birth WestmountCounty of Cape Breton

Name of Father John G. Moulins MAIDEN NAME of Mother Leona Duhogan

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

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

Occupation of Father at Birth of child Steelworker Place of birth of Father France

Race Name and present address of Physician in attendance at birth

Signature of Applicant Leona Moulins Address of Applicant Westmount, Cape Breton Co., NS Date 6 June 1956

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Peter LouisMoulins

Born at Westmount in the County of Cape Breton

That Peter LouisMoulins Whose Birth is sought to be registered was

born at Westmount Cape Breton County on June 6, 1924

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

That I am the mother of the said Peter Louis Moulins and have a distinct recollection of the date and place of his birth. The church records of his baptism show his second name "Louis" by initial "L" only

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