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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700152

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Catherine LillianMacQueen Sex Female

Date of Birth December 13, 1919 Place of Birth Port MorienCounty of Cape Breton

Name of Father Duncan A. MacQueen MAIDEN NAME of Mother Lillian Jane Wadden

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

Residence of Father when child was born Port Morien Present address of Father

Occupation of Father at Birth of child Miner Place of birth of Father Round Island, Cape Breton

Race Name and present address of Physician in attendance at birth Dr. A.K. Roy

Signature of Applicant Duncan A. MacQueen Address of Applicant Port Morien Date 29 December 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Catherine LillianMacQueen

Born at Port Morien in the County of Cape Breton

That Catherine LillianMacQueen Whose Birth is sought to be registered was

born at Port Morien Cape Breton County on December 13, 1919

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

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