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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000090

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Lily MicheleHirsch Sex Female

Date of Birth August 31, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father Joseph Hirsch MAIDEN NAME of Mother Bella Dubinsky

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

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

Occupation of Father at Birth of child Grocer Place of birth of Father Poland

Race Jewish Name and present address of Physician in attendance at birth Dr. Rice

Signature of Applicant Mrs. Joseph Hirsch Address of Applicant Sydney Date June 18, 1948

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Lily MicheleHirsch

Born at Sydney in the County of Cape Breton

That Lily MicheleHirsch Whose Birth is sought to be registered was

born at Sydney Cape Breton County on August 31, 1920

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

I am the mother of lily Michele Hirsch.

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