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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

41200083

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine MaryO'Connell Sex Female

Date of Birth October 16, 1919 Place of Birth HalifaxCounty of Halifax

Name of Father James Edward O'Connell MAIDEN NAME of Mother Isabelle Augusta Hepburn

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

Residence of Father when child was born Halifax Present address of Father 9 LeMarchant St.

Occupation of Father at Birth of child Agent Place of birth of Father Halifax

Race Name and present address of Physician in attendance at birth Dr. L.L. Harrison

Signature of Applicant James Edward O'Connell Address of Applicant 9 LeMarchant St. Date 24 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine MaryO'Connell

Born at Halifax in the County of Halifax

That Catherine MaryO'Connell Whose Birth is sought to be registered was

born at Halifax Halifax County on October 16, 1919

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

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