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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000218

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie RachelStewart Sex Female

Date of Birth October 5, 1920 Place of Birth New AberdeenCounty of Cape Breton

Name of Father Daniel Stewart MAIDEN NAME of Mother Katie A. Gillis

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

Residence of Father when child was born Glace Bay Present address of Father 213 West Ave. New Aberdeen

Occupation of Father at Birth of child Miner Place of birth of Father Bridgeport

Race Canadian Scottish Name and present address of Physician in attendance at birth Dr. E.O. MacDonald (deceased)

Signature of Applicant Kay Stweart Address of Applicant 213 West Ave. New Aberdeen Date March 16, 1954

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie RachelStewart

Born at New Aberdeen in the County of Cape Breton

That Annie RachelStewart Whose Birth is sought to be registered was

born at New Aberdeen Cape Breton County on October 5, 1920

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

I am her Mother. & Baptism Certificate attached

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