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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

91900344

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of RachelManuel Sex

Date of Birth November 26, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father Louis Manuel MAIDEN NAME of Mother Alice Mendelson

Residence of Father when child was born Park Street, Glace Bay Present address of Father

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

Race White Name and present address of Physician in attendance at birth Dr. F. W. Green, South Street, Glace Bay

Signature of Applicant Alice Manual Address of Applicant 113 Union Street, Glace Bay Date April 12, 1945

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of RachelManuel

Born at Glace Bay in the County of Cape Breton

That RachelManuel Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 26, 1920

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

I am her mother.

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