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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500008

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Cassie MaySparks Sex Female

Date of Birth October 8, 1919 Place of Birth AmherstCounty of Cumberland

Name of Father William Sparks MAIDEN NAME of Mother Cassie May Lansey

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

Residence of Father when child was born Amherst Present address of Father 3 Gladstone Ave., Amherst

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

Race Name and present address of Physician in attendance at birth Dr. F.E. Boudreau

Signature of Applicant William Sparks Address of Applicant 3 Gladstone Ave. Date 13 October 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Cassie MaySparks

Born at Amherst in the County of Cumberland

That Cassie MaySparks Whose Birth is sought to be registered was

born at Amherst Cumberland County on October 8, 1919

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

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