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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000997

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marguerite OlgaThebault Sex Female

Date of Birth October 23, 1924 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father William J. Thebault MAIDEN NAME of Mother Catherine M. Whalen

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 St. Pierre Miquelon

Race Name and present address of Physician in attendance at birth

Signature of Applicant Marguerite Olga Buzash Address of Applicant Fonthill, Ontario Date February 22, 2007

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marguerite OlgaThebault

Born at Sydney Mines in the County of Cape Breton

That Marguerite OlgaThebault Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on October 23, 1924

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

Certificate of Baptism

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