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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000353

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Anna MarieThomas Sex Female

Date of Birth November 15, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father George Thomas MAIDEN NAME of Mother Catherine Cameron

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

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

Occupation of Father at Birth of child Police Officer Place of birth of Father Point Michaud, Cape Breton Co.

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

Signature of Applicant Anne marie Thomas Address of Applicant Glace Bay, Cape Breton Co. Date 23 October 1961

Relationship of Applicant to child Self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Anna MarieThomas

Born at Glace Bay in the County of Cape Breton

That Anna MarieThomas Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 15, 1920

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

It is the date shown on the attached certificate of Baptism, particulars of which were taken from the records of St. Anns Church, Glace Bay

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