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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000207

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Eva BlancheMassiah Sex Female

Date of Birth March 28, 1920 Place of Birth SydneyCounty of Cape Breton

Name of Father James Massiah MAIDEN NAME of Mother Blanche Lewis

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

Residence of Father when child was born Sydney Present address of Father 411 St. Peters Rd. (deceased)

Occupation of Father at Birth of child Steelworker Place of birth of Father Barbadoes BWI

Race White Name and present address of Physician in attendance at birth Dr. E. McDonald, Sydney (deceased)

Signature of Applicant James Massiah Address of Applicant 411 St. Peters Rd. Sydney Date October 26, 1953

Relationship of Applicant to child Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Eva BlancheMassiah

Born at Sydney in the County of Cape Breton

That Eva BlancheMassiah Whose Birth is sought to be registered was

born at Sydney Cape Breton County on March 28, 1920

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

I have lived with her all my life, and enclosed baptismal certificate.

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