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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700011

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of EttaHorne Sex Female

Date of Birth December 6, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Robert L Horne MAIDEN NAME of Mother May McDonald

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

Residence of Father when child was born Sydney Present address of Father Prince St.

Occupation of Father at Birth of child Machinist Place of birth of Father Horn's Rd., Mira

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

Signature of Applicant Robert L. Horne Address of Applicant Prince St., Sydney Date 26 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of EttaHorne

Born at Sydney in the County of Cape Breton

That EttaHorne Whose Birth is sought to be registered was

born at Sydney Cape Breton County on December 6, 1919

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

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