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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000770

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RaymondBoudreau Sex Male

Date of Birth May 28, 1924 Place of Birth LouisdaleCounty of Richmond

Name of Father Thomas Boudreau MAIDEN NAME of Mother Evangeline Landry

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

Residence of Father when child was born Louisdale, Richmond Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Labourer Place of birth of Father Louisdale, Richmond Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Raymond Boudreau Address of Applicant Louisdale, Richmond Co., NS Date 6 December 1983

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RaymondBoudreau

Born at Louisdale in the County of Richmond

That RaymondBoudreau Whose Birth is sought to be registered was

born at Louisdale Richmond County on May 28, 1924

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

Church records of St. Louis Parish, Louisdale, NS

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