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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000960

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Helen RitaFielding Sex Female

Date of Birth February 7, 1920 Place of Birth DominionCounty of Cape Breton

Name of Father Leonard Fielding MAIDEN NAME of Mother Ellen Campbell

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

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

Occupation of Father at Birth of child Office Clerk Place of birth of Father Reserve Mines

Race Name and present address of Physician in attendance at birth

Signature of Applicant Helen MacKinnon Address of Applicant Glace Bay Date February 20, 1979

Relationship of Applicant to child self

AFFIDAVIT

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

Born at Dominion in the County of Cape Breton

That Helen RitaFielding Whose Birth is sought to be registered was

born at Dominion Cape Breton County on February 7, 1920

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

Older Sister - Claire Fielding

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