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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000337

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Rosetta ElizabethPlichie Sex Female

Date of Birth April 20, 1920 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father Joseph Plichie MAIDEN NAME of Mother Florence McKinnon

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

Residence of Father when child was born Sydney Mines, Cape Breton Co. Present address of Father Glace Bay, Cape Breton Co.

Occupation of Father at Birth of child Metal Worker Place of birth of Father Italy

Race Italian Name and present address of Physician in attendance at birth Deceased

Signature of Applicant Agnes Elizabeth Plichie Address of Applicant 150 McLean Street, Glace Bay, Cape Breton Co. Date 8 February 1961

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Rosetta ElizabethPlichie

Born at Sydney Mines in the County of Cape Breton

That Rosetta ElizabethPlichie Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on April 20, 1920

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

It is the date shown on the certificate of birth and Baptism from Immaculate Conception Church, Sydney Mines which has already been forwarded to the Office of the Deputy Registrar. There is also enclosed a copy from the records of St. John the Baptist Church at New Aberdeen, Glace Bay which shows that I made my first communion as Rosetta Elizabeth Plichie

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