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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000642

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth April 18, 1924 Place of Birth Cap Auget, ArichatCounty of Richmond

Name of Father Georges Richard MAIDEN NAME of Mother Stella Martel

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

Residence of Father when child was born Cap Auget, Arichat, Richmond Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Fisherman Place of birth of Father Arichat, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Richard Address of Applicant PO Box 91, Petit de Grat, Richmond Co., NS Date 13 July 1979

Relationship of Applicant to child Herself

AFFIDAVIT

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

Born at Cap Auget, Arichat in the County of Richmond

That Marie AnitaRichard Whose Birth is sought to be registered was

born at Cap Auget, Arichat Richmond County on April 18, 1924

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

Her birth and baptismal records from Our Lady of the Assumption Parish, Arichat, NS checked and verified today, July 13, 1979

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