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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000556

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Albert MichaelFougere Sex Male

Date of Birth June 12, 1924 Place of Birth New WaterfordCounty of Cape Breton

Name of Father Simon Fougere MAIDEN NAME of Mother Victoria Gracie

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

Residence of Father when child was born New Victoria, Cape Breton Co., NS Present address of Father New Waterford, Cape Breton Co., NS

Occupation of Father at Birth of child Miner in #12 Colliery Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Alice Gale Address of Applicant South Bar, Cape Breton Co., NS Date 27 October 1977

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Albert MichaelFougere

Born at New Waterford in the County of Cape Breton

That Albert MichaelFougere Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on June 12, 1924

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

I am the sister of Albert Michael Fougere and recall vividly the date of birth of my brother

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