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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700117

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Sadie IsabellPentz Sex Female

Date of Birth December 9, 1919 Place of Birth Glace BayCounty of Cape Breton

Name of Father James Pentz MAIDEN NAME of Mother Rebekah Woodburn

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

Residence of Father when child was born Glace Bay Present address of Father Sterling

Occupation of Father at Birth of child Miner Place of birth of Father Windsor

Race Name and present address of Physician in attendance at birth Mrs. McPherson

Signature of Applicant James Pentz Address of Applicant Sterling, Glace Bay Date 13 January 1920

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Sadie IsabellPentz

Born at Glace Bay in the County of Cape Breton

That Sadie IsabellPentz Whose Birth is sought to be registered was

born at Glace Bay Cape Breton County on December 9, 1919

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

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