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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000691

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth May 4, 1924 Place of Birth Comeau's HillCounty of Yarmouth

Name of Father   MAIDEN NAME of Mother Eva DeViller

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marie Alice Clairmont Address of Applicant 58 Hibernia Street, Yarmouth, NS Date 30 October 1980

Relationship of Applicant to child Same

AFFIDAVIT

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

Born at Comeau's Hill in the County of Yarmouth

That Marie AliceDeviller Whose Birth is sought to be registered was

born at Comeau's Hill Yarmouth County on May 4, 1924

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

I went to live with Francis and Laura Jacquard at Bellneck, Yarmouth Co., when I was 3 months old, I found out that I was adopted when I was 10. I never knew Eva Deviller, my real mother. I remember starting school in 1932 when I was 8 years old. I always celebrated my birthday on May 4th.

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