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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000335

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Elizabeth KathleenArsenault Sex Female

Date of Birth January 16, 1924 Place of Birth AmherstCounty of Cumberland

Name of Father Joseph Arsenault MAIDEN NAME of Mother Frances Perry

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

Residence of Father when child was born Amherst, Cumberland Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Amherst, Cumberland Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Robert M. Mercer Address of Applicant 3470 Wolfe Crescent, Halifax, NS Date 30 June 1970

Relationship of Applicant to child Husband

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Elizabeth KathleenArsenault

Born at Amherst in the County of Cumberland

That Elizabeth KathleenArsenault Whose Birth is sought to be registered was

born at Amherst Cumberland County on January 16, 1924

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

Baptism Certificate

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