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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700070

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Francis RichardCain Sex Male

Date of Birth December 31, 1919 Place of Birth North SydneyCounty of Cape Breton

Name of Father Richard Cain MAIDEN NAME of Mother Florence Derrick

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

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

Occupation of Father at Birth of child Fish curer Place of birth of Father Liverpool, England

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

Signature of Applicant Florence Cain Address of Applicant North Sydney Date 14 January 1920

Relationship of Applicant to child mother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Francis RichardCain

Born at North Sydney in the County of Cape Breton

That Francis RichardCain Whose Birth is sought to be registered was

born at North Sydney Cape Breton County on December 31, 1919

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

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