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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000445

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 27, 1924 Place of Birth Petit de GratCounty of Richmond

Name of Father Jean Z. Boudreau MAIDEN NAME of Mother Lilly Fougere

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 Deceased

Occupation of Father at Birth of child Fisherman 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 Meline LaViolette Address of Applicant 1225 Queen Street, Halifax, NS Date 29 January 1975

Relationship of Applicant to child Aunt

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marie EvelynBoudreau

Born at Petit de Grat in the County of Richmond

That Marie EvelynBoudreau Whose Birth is sought to be registered was

born at Petit de Grat Richmond County on August 27, 1924

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

Baptismal certificate

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