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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000938

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of PaulineTobin Sex Female

Date of Birth January 15, 1920 Place of Birth New AberdeenCounty of Cape Breton

Name of Father John Joseph Tobin MAIDEN NAME of Mother Sarah Agnes O'Riley

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

Residence of Father when child was born New Aberdeen Present address of Father Parkwell Nursing Home

Occupation of Father at Birth of child Coal Miner Place of birth of Father County Cork, Ireland

Race Name and present address of Physician in attendance at birth

Signature of Applicant Pauline Tobin Clancey Address of Applicant New Aberdeen Date August 22, 1978

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of PaulineTobin

Born at New Aberdeen in the County of Cape Breton

That PaulineTobin Whose Birth is sought to be registered was

born at New Aberdeen Cape Breton County on January 15, 1920

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

My mother and father were married in New Aberdeen at 4 o`clock in the afternoon, November 19, 1906. Also from a Family Bible stating my birth. Also Stating births of other children born in Canada.

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