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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000774

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RitaArsenault Sex Female

Date of Birth July 13, 1924 Place of Birth Alder PointCounty of Cape Breton

Name of Father Ephream J. Arsenault MAIDEN NAME of Mother Adele Lambert

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

Residence of Father when child was born Alder Point, Cape Breton Co., NS Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Alder Point, Cape Breton Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Rita Farrell Address of Applicant 337 East 36th Street, Hamilton, Ontario Date 23 February 1984

Relationship of Applicant to child Self

AFFIDAVIT

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

Born at Alder Point in the County of Cape Breton

That RitaArsenault Whose Birth is sought to be registered was

born at Alder Point Cape Breton County on July 13, 1924

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

Certificate of birth and baptism - St. Joseph's Parish, Bras d'Or, NS (February 28, 1984)

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