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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000946

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Roy MiltonBoudreau Sex Male

Date of Birth July 11, 1924 Place of Birth HalifaxCounty of Halifax

Name of Father Charles Boudreau MAIDEN NAME of Mother Rita MacNeil

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

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father Cheticamp

Race Name and present address of Physician in attendance at birth

Signature of Applicant Roy M. Boudreau Address of Applicant 6969 Bayers Rd. Halifax Date June 15, 1989

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Roy MiltonBoudreau

Born at Halifax in the County of Halifax

That Roy MiltonBoudreau Whose Birth is sought to be registered was

born at Halifax Halifax County on July 11, 1924

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

Baptismal Marriage Extract

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