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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99100367

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Annie ColeenVacheresse Sex Female

Date of Birth January 18, 1920 Place of Birth New AberdeenCounty of Cape Breton

Name of Father John Vacheresse MAIDEN NAME of Mother Florence  McGregor

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

Residence of Father when child was born New Aberdeen Present address of Father deceased

Occupation of Father at Birth of child Place of birth of Father Stellarton

Race Name and present address of Physician in attendance at birth

Signature of Applicant LeeAnn Ferguson Address of Applicant Glace Bay Date February 17, 1987

Relationship of Applicant to child granddaughter

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Annie ColeenVacheresse

Born at New Aberdeen in the County of Cape Breton

That Annie ColeenVacheresse Whose Birth is sought to be registered was

born at New Aberdeen Cape Breton County on January 18, 1920

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

1. Baptismal 2. Marriage Extract 3. Parents Marriage

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