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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

66700192

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

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

Date of Birth November 18, 1919 Place of Birth SydneyCounty of Cape Breton

Name of Father John V. MacEachern MAIDEN NAME of Mother Mary Ann McVarich

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

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

Occupation of Father at Birth of child Carpenter Place of birth of Father East Bay

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

Signature of Applicant John V. McEachern Address of Applicant Sydney Date 24 November 1919

Relationship of Applicant to child father

AFFIDAVIT

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

Born at Sydney in the County of Cape Breton

That Catherine AnneMacEachern Whose Birth is sought to be registered was

born at Sydney Cape Breton County on November 18, 1919

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

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