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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000723

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary NettyThibault Sex Female

Date of Birth May 17, 1924 Place of Birth DoucettevilleCounty of Digby

Name of Father Hantford Thibault MAIDEN NAME of Mother Franty Thibault

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 Lumbering Place of birth of Father Doucetteville, Digby Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Annette Von Schwerine Address of Applicant 44 Doloraine Avenue, York, Ontario Date 2 November 1981

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary NettyThibault

Born at Doucetteville in the County of Digby

That Mary NettyThibault Whose Birth is sought to be registered was

born at Doucetteville Digby County on May 17, 1924

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

Birth and Baptism certificate

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