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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91703473

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jessie RitaCasey Sex Female

Date of Birth February 21, 1920 Place of Birth New Aberdeen, Glace BayCounty of Cape Breton

Name of Father Thomas Joseph Casey MAIDEN NAME of Mother Hannah McIntyre

Residence of Father when child was born New Aberdeen, Glace Bay, Cape Breton Co. Present address of Father 103 Edward Street, Halifax

Occupation of Father at Birth of child Underground Manager, Dominion Colliery No. 15 Place of birth of Father Glace Bay, Cape Breton Co.

Race Canadian Name and present address of Physician in attendance at birth Dr. F. G. McAskill, York Street, Glace Bay

Signature of Applicant Thomas Joseph Casey Address of Applicant 103 Edward Street, Halifax Date 29 April 1943

Relationship of Applicant to child Father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jessie RitaCasey

Born at New Aberdeen, Glace Bay in the County of Cape Breton

That Jessie RitaCasey Whose Birth is sought to be registered was

born at New Aberdeen, Glace Bay Cape Breton County on February 21, 1920

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

Saw the baby, Jessie Rita Casey after birth on February 21, 1920. I am the father of Jessie Rita Casey

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