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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

90600260

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Johanna ElsieDunne Sex Female

Date of Birth October 8, 1920 Place of Birth North SydneyCounty of Cape Breton

Name of Father James Dunne MAIDEN NAME of Mother Johanna Derrick

Residence of Father when child was born North Sydney, Cape Breton Co. Present address of Father deceased

Occupation of Father at Birth of child Fish Merchant Place of birth of Father

Race White Name and present address of Physician in attendance at birth

Signature of Applicant Rev. William F. Kiely Address of Applicant North Sydney, Cape Breton Co. Date 19 October 1934

Relationship of Applicant to child none

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Johanna ElsieDunne

Born at North Sydney in the County of Cape Breton

That Johanna ElsieDunne Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on October 8, 1920

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

Church certificate & letter from Rev. Wm F. Kiely accepted

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