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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000845

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Martin LeoDeon Sex Male

Date of Birth January 13, 1924 Place of Birth PomquetCounty of Antigonish

Name of Father Joseph Gregor Deon MAIDEN NAME of Mother Marie Louis  Venaham

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

Residence of Father when child was born Pomquet Present address of Father deceased

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

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mrs. Mary Melanson Address of Applicant Pomquet Date 4 July 1986

Relationship of Applicant to child Sister

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Martin LeoDeon

Born at Pomquet in the County of Antigonish

That Martin LeoDeon Whose Birth is sought to be registered was

born at Pomquet Antigonish County on January 13, 1924

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

I was there at time of birth.

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