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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000494

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of John LeonardDoucette Sex Male

Date of Birth January 31, 1924 Place of Birth Cedar LakeCounty of Yarmouth

Name of Father Francois Celino Douocette MAIDEN NAME of Mother Eunice Cerina Clements

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

Residence of Father when child was born Cedar Lake, Yarmouth Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Cape St. Mary, Digby Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Stanley A. Deveau Address of Applicant Box 4425, RR #4, Brooklyn, Yarmouth Co., NS Date 26 October 1975

Relationship of Applicant to child Brother in Law

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of John LeonardDoucette

Born at Cedar Lake in the County of Yarmouth

That John LeonardDoucette Whose Birth is sought to be registered was

born at Cedar Lake Yarmouth County on January 31, 1924

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

Research into the family records of Frnacois Celino Doucette pertaining to John Leonard Doucette, including Religious, Military and school records.

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