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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700097

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Marcella MayStubbert Sex Female

Date of Birth December 23, 1919 Place of Birth Sydney MinesCounty of Cape Breton

Name of Father William Frederick Stubbert MAIDEN NAME of Mother Florence Agnes McPhee

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

Residence of Father when child was born Florence Present address of Father

Occupation of Father at Birth of child Blacksmith Place of birth of Father Little Pond

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

Signature of Applicant William Frederick Stubbert Address of Applicant Florence Date 07 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Marcella MayStubbert

Born at Sydney Mines in the County of Cape Breton

That Marcella MayStubbert Whose Birth is sought to be registered was

born at Sydney Mines Cape Breton County on December 23, 1919

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

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