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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000416

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marie Anne MildredBoudreau Sex Female

Date of Birth April 10, 1924 Place of Birth Petit de GratCounty of Richmond

Name of Father Remie Boudreau MAIDEN NAME of Mother Meda Boudreau

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

Residence of Father when child was born Petit de Grat, Richmond Co., NS Present address of Father Petit de Grat, Richmond Co., NS

Occupation of Father at Birth of child Engineer Place of birth of Father Petit de Grat, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mildred Forgeron Address of Applicant 3843 Gottingen Street, Halifax, NS Date 14 February 1974

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie Anne MildredBoudreau

Born at Petit de Grat in the County of Richmond

That Marie Anne MildredBoudreau Whose Birth is sought to be registered was

born at Petit de Grat Richmond County on April 10, 1924

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

Baptism certificate

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