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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700185

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Beth MillsSynyard Sex Female

Date of Birth November 13, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father Charles Henry Synyard MAIDEN NAME of Mother Clara Mills

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

Residence of Father when child was born Sydney Present address of Father 83 Charlotte St.

Occupation of Father at Birth of child Civil Engineer Place of birth of Father St. John's, Nfld

Race Name and present address of Physician in attendance at birth Dr. G.G.B. Lynch

Signature of Applicant Charles Henry Synyard Address of Applicant 83 Charlotte St., Sydney Date 25 November 1919

Relationship of Applicant to child father

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Beth MillsSynyard

Born at Sydney in the County of Cape Breton

That Beth MillsSynyard Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 13, 1919

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

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