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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000365

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Joseph ErnestFougere Sex Male

Date of Birth May 4, 1924 Place of Birth Port HawwkesburyCounty of Inverness

Name of Father William A. Fougere MAIDEN NAME of Mother Ena May LeBlanc

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

Residence of Father when child was born Port Hawkesbury, Cape Breton Co., NS Present address of Father Janvrins Harbour, Richmond Co., NS

Occupation of Father at Birth of child Fisherman Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Terence M. Fougere Address of Applicant 13 Hartlen Avenue, Spryfield, Halifax Co., NS Date 8 February 1972

Relationship of Applicant to child Son

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Joseph ErnestFougere

Born at Port Hawwkesbury in the County of Inverness

That Joseph ErnestFougere Whose Birth is sought to be registered was

born at Port Hawwkesbury Inverness County on May 4, 1924

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

Baptismal certificate

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