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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700089

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Jane DickSimpson Sex Female

Date of Birth December 18, 1919 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father James Currie Simpson MAIDEN NAME of Mother Jane Sommerville

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

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

Occupation of Father at Birth of child Miner Place of birth of Father Hamilton, Scotland

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

Signature of Applicant James Currie Simpson Address of Applicant Sydney Mines Date 08 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Jane DickSimpson

Born at Sydney Mines in the County of Cape Breton

That Jane DickSimpson Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on December 18, 1919

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

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