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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000836

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth August 12, 1924 Place of Birth Port HawkesburyCounty of Inverness

Name of Father Abraham Forgeron MAIDEN NAME of Mother Stella Briand

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

Residence of Father when child was born Port Hawkesbury Present address of Father deceased

Occupation of Father at Birth of child not known Place of birth of Father not known

Race Name and present address of Physician in attendance at birth

Signature of Applicant Stephen Dugas Address of Applicant 2619 Fuller Terr. Halifax Date February 3, 1986

Relationship of Applicant to child Son

AFFIDAVIT

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

Born at Port Hawkesbury in the County of Inverness

That Mary PriscillaForgeron Whose Birth is sought to be registered was

born at Port Hawkesbury Inverness County on August 12, 1924

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

Baptismal

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