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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000279

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen ElizabethSisco Sex

Date of Birth January 5, 1920 Place of Birth YarmouthCounty of Yarmouth

Name of Father George Edward Sisco MAIDEN NAME of Mother Beatrice Jane Beals

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

Residence of Father when child was born Yarmouth Present address of Father deceased

Occupation of Father at Birth of child Truckman Place of birth of Father Arcadia

Race White Name and present address of Physician in attendance at birth Dr. W.C. Harris (Now deceased)

Signature of Applicant Beatrice Jane O'Connell Address of Applicant 598 Main Street, Yarmouth Date June 26, 1957

Relationship of Applicant to child Mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Helen ElizabethSisco

Born at Yarmouth in the County of Yarmouth

That Helen ElizabethSisco Whose Birth is sought to be registered was

born at Yarmouth Yarmouth County on January 5, 1920

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

As the mother, I know the date of my said daughter's birth and further I kept a record of my children's births in a baby's record book and the entry respecting this birth reads as follows "Helen E. Sisco, Born jan. 5, 1920".

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