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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

64500215

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Edith KathleenBurke Sex Female

Date of Birth December 22, 1919 Place of Birth Joggins MinesCounty of Cumberland

Name of Father William H Burke MAIDEN NAME of Mother Mary McNeil

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

Residence of Father when child was born Joggins Mines Present address of Father

Occupation of Father at Birth of child River Hebert Place of birth of Father River Hebert

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

Signature of Applicant William H. Burke Address of Applicant Joggins Mines Date 24 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Edith KathleenBurke

Born at Joggins Mines in the County of Cumberland

That Edith KathleenBurke Whose Birth is sought to be registered was

born at Joggins Mines Cumberland County on December 22, 1919

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

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