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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000668

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lucie EllaAmirault Sex Female

Date of Birth April 1, 1924 Place of Birth DoucettevilleCounty of Digby

Name of Father Albert Amirault MAIDEN NAME of Mother Annie Robichaud

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

Residence of Father when child was born Doucetteville, Digby Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Farmer Place of birth of Father Doucetteville, Digby Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Lucie E. Burchill Address of Applicant 381 Lancaster Street, Saint John West, New Brunswick Date 3 July 1978

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lucie EllaAmirault

Born at Doucetteville in the County of Digby

That Lucie EllaAmirault Whose Birth is sought to be registered was

born at Doucetteville Digby County on April 1, 1924

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

Certified copy of Certificate of Birth and Baptism

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