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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700064

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth December 19, 1919 Place of Birth North SydneyCounty of Cape Breton

Name of Father George Forsey MAIDEN NAME of Mother Frances Anderson

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

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

Occupation of Father at Birth of child Jail keeper Place of birth of Father North Sydney

Race Name and present address of Physician in attendance at birth Dr. M.J. McLean

Signature of Applicant George Forsey Address of Applicant Pleasant St., North Sydney Date 19 December 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at North Sydney in the County of Cape Breton

That Forsey Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on December 19, 1919

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

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