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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100096

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine J.Hayes Sex Female

Date of Birth November 3, 1920 Place of Birth Glace BayCounty of Cape Breton

Name of Father William Hayes MAIDEN NAME of Mother Bridget Walsh

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 deceased

Occupation of Father at Birth of child Mine Worker Place of birth of Father Little Bay, Newfoundland & Labrador

Race Name and present address of Physician in attendance at birth

Signature of Applicant Catherine Gallant Address of Applicant 181 South Street, Glace Bay, Cape Breton Co. Date 22 October 1980

Relationship of Applicant to child Same

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine J.Hayes

Born at Glace Bay in the County of Cape Breton

That Catherine J.Hayes Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on November 3, 1920

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

I am an older sister of Catherine J. Hayes. My age is 66 years. the particulars of the fact adn date of the birth of my sister Catherine J. Hayes are as given herein and reflected in the certificate of birth and baptism from St. Anne's Parish, dated October 31, 1980

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