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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000023

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jean CurrieSimpson Sex Female

Date of Birth December 18, 1920 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father James Simpson MAIDEN NAME of Mother Jean  Somerville

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

Residence of Father when child was born Sydney Mines Present address of Father Sydney Mines

Occupation of Father at Birth of child Miner Place of birth of Father Hamilton, Scotland

Race Scottish Name and present address of Physician in attendance at birth Dr. L.W. Johnston

Signature of Applicant Jean Sommerville Simpson Address of Applicant 422 Fraser Ave. Sydney Mines Date October 12, 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jean CurrieSimpson

Born at Sydney Mines in the County of Cape Breton

That Jean CurrieSimpson Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on December 18, 1920

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

I am her mother and all Births of the family are recorded in our Family Bible

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