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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000024

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine LouisePettipas Sex Female

Date of Birth February 18, 1920 Place of Birth LynwoodCounty of Antigonish

Name of Father Joseph Pettipas MAIDEN NAME of Mother Mary Ellen Thompson

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

Residence of Father when child was born Lynwood Present address of Father Kingston

Occupation of Father at Birth of child Labourer Place of birth of Father Turnsey Point, Massachusetts, USA

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

Signature of Applicant Mrs. Mary Pettipas Address of Applicant Deep Brook Date October 22, 1946

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine LouisePettipas

Born at Lynwood in the County of Antigonish

That Catherine LouisePettipas Whose Birth is sought to be registered was

born at Lynwood Antigonish County on February 18, 1920

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

That I am her Mother

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