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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700003

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mildred GenevieveShea Sex Female

Date of Birth December 2, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Gilbert Shea MAIDEN NAME of Mother Blanch Bates

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

Residence of Father when child was born Sydney Present address of Father 1444 Victoria Rd.

Occupation of Father at Birth of child Nail maker Place of birth of Father Ingonish

Race Name and present address of Physician in attendance at birth Dr. W.R. McRae

Signature of Applicant Gilbert Shae Address of Applicant 1444 Victoria Rd., Sydney Date 09 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mildred GenevieveShea

Born at Sydney in the County of Cape Breton

That Mildred GenevieveShea Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 2, 1919

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

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