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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000676

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Alice JeanWalton Sex Female

Date of Birth April 12, 1920 Place of Birth Leitches CreekCounty of Cape Breton

Name of Father Robert Edward Walton MAIDEN NAME of Mother Sadie Clarke

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

Residence of Father when child was born Leitche's Creek Present address of Father deceased

Occupation of Father at Birth of child Railroad section foreman Place of birth of Father London, England

Race Anglo-saxon Name and present address of Physician in attendance at birth Not known

Signature of Applicant Alice Jean Walton MacDonald Address of Applicant North Sydney Date April 16, 1974

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Alice JeanWalton

Born at Leitches Creek in the County of Cape Breton

That Alice JeanWalton Whose Birth is sought to be registered was

born at Leitches Creek Cape Breton County on April 12, 1920

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

Certificate of Baptism (attached)

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