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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100200

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth June 29, 1920 Place of Birth WestvilleCounty of Pictou

Name of Father Daniel Bernard Fogarty MAIDEN NAME of Mother Mary Belle (Isabel) McCormick

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

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

Occupation of Father at Birth of child Coal Mine employee Place of birth of Father Tracadie

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mildred Weatherbee Address of Applicant Westville Date January 26, 1983

Relationship of Applicant to child 3rd Cousin

AFFIDAVIT

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

Born at Westville in the County of Pictou

That Helen EmelineFogarty Whose Birth is sought to be registered was

born at Westville Pictou County on June 29, 1920

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

I was 12 years old at the time of the birth and I clearly recall the birth, the child was born at home, and I recall seeing the child at her parents' home on numerous occasions from and after her birth. I have lived in Pictou County since the time of her birth to the present time and she has lived in Pictou County continuously as well.

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